CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Seton Medical Center Harker Heights

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $161
Cash Discount Price: $35
vs. Medicare Baseline: 2.67x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Seton Medical Center Harker Heights is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.67x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$35

Average discount available for prompt cash payment at this facility.

Insurance Median

$161

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: $35 (58%)

Insurance Median: $161 (267%)

Cash: $35 (58% of Medicare)

Ins. Median: $161 (267% 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 267% of the Medicare baseline (a markup of 167%). 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
Medicaid / KanCare	$24 - $374	40%
Blue Cross Blue Shield	$61 - $258	101%
Healthscope Benefits [2290]	$63	105%
UnitedHealthcare	$63 - $207	105%
Aetna	$65 - $200	108%
Bell County Indigent Health Svc [3530]	$66	110%
Healthcare Highways [2210]	$136	226%
Oncology Patient Assistance Programs [2295]	$136	226%
Selecthealth [3740]	$136	226%
Web Tpa [2115]	$136 - $279	226%
First Health [1375]	$200	332%
Mailhandlers [1595]	$200	332%
Geha [1415]	$207	343%
Humana	$228 - $252	378%
First Care Commercial [1371]	$262	435%
Allied Benefit Systems Inc [1030]	$279	463%
Cigna	$302	501%

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 $35.
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 Seton Medical Center Harker Heights 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.