CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: St Luke's Hospital at the Vintage

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $262
Cash Discount Price: $295
vs. Medicare Baseline: 4.35x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at St Luke's Hospital at the Vintage is $262. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.35x the Medicare baseline. Located in 20171 Chasewood Park Drive, Houston, TX.

Cash / Self-Pay

$295

Average discount available for prompt cash payment at this facility.

Insurance Median

$262

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$60.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $60.27 (100%)

Cash / Self-Pay: $295 (489%)

Insurance Median: $262 (435%)

Cash: $295 (489% of Medicare)

Ins. Median: $262 (435% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $60.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 435% of the Medicare baseline (a markup of 335%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Renaissance	$43	71%
Blue Cross Blue Shield	$60 - $175	100%
Cigna	$60 - $591	100%
Humana	$60 - $549	100%
Kelsey	$60	100%
Selectcare	$60	100%
Aetna	$61 - $92	101%
Amerivantage	$61	101%
UnitedHealthcare	$61 - $697	101%
Devoted	$64	106%
Scanhealth	$64	106%
Kindred	$65	108%
Kelseycare	$80	133%
Employer Direct	$83	138%
Community Health Choice	$89	148%
Superior Health Plan	$89	148%
Wellpoint	$89	148%
Bright Health	$93	154%
Nx Health	$193	320%
United	$209 - $397	347%
Tchpchip	$295 - $363	489%
Chc	$464	770%
Texastruechoice	$464	770%
Coventry	$549	911%
First Health	$549	911%
Healthsmart	$591	981%
Interlink	$591	981%
Multiplan	$633	1050%
USA Health Network	$717	1190%
Mhealth Network	$844	1400%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $295.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93005.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Luke's Hospital at the Vintage is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93005.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.