CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Houston Healthcare Pearland

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $294
Cash Discount Price: $1,363
vs. Medicare Baseline: 4.88x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Houston Healthcare Pearland is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,363. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.88x the Medicare baseline. Located in 11100 Shadow Creek Parkway, Pearland, TX.

Cash / Self-Pay

$1,363

Average discount available for prompt cash payment at this facility.

Insurance Median

$294

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: $1,363 (2261%)

Insurance Median: $294 (488%)

Cash: $1,363 (2261% of Medicare)

Ins. Median: $294 (488% 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 488% of the Medicare baseline (a markup of 388%). 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
Humana	$78	129%
Superior Health Plan	$82	136%
Blue Cross Blue Shield	$129 - $477	214%
Community Health Choice Mcd	$177	294%
Cigna	$202 - $259	335%
Texas Childrens Health Plans	$226 - $323	375%
United	$229 - $613	380%
Oscar	$266	441%
Healthcare Highways	$348	577%
Aetna	$361 - $590	599%
Evry Health	$372	617%
Christus (Usfhp)	$545	904%
Curative Administrators	$545	904%
Coventry National First Health	$726	1205%

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 $1,363.
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 HCA Houston Healthcare Pearland 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.