CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $250
Cash Discount Price: $316
vs. Medicare Baseline: 4.15x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Baylor Scott & White Medical Center Pflugerville is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.15x the Medicare baseline. Located in 2600 East Pflugerville Parkway, Pflugerville, TX.

Cash / Self-Pay

$316

Average discount available for prompt cash payment at this facility.

Insurance Median

$250

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: $316 (524%)

Insurance Median: $250 (415%)

Cash: $316 (524% of Medicare)

Ins. Median: $250 (415% 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 415% of the Medicare baseline (a markup of 315%). 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
Baylor Scott & White Health Plan	$52 - $225	86%
Humana	$55 - $368	91%
Superior Health Plan	$55 - $95	91%
Triwest	$55	91%
American Health Plan	$57	95%
Corvel	$57	95%
Healthspring	$57	95%
Prime Health Services	$57	95%
Procare Advantage	$57	95%
UnitedHealthcare	$63 - $364	105%
Sedgwick	$82	136%
Blue Cross Blue Shield	$156 - $190	259%
Cigna	$250 - $291	415%
Midcoast	$289	480%
Quiktrip	$289	480%
University Of Mary Hardin-Baylor	$305	506%
Independent Medical System	$316	524%
Curative	$342	567%
First Health	$368	611%
Healthsmart	$368 - $395	611%
Private Health Care System	$395	655%
Three Rivers	$473	785%
Aetna	$892	1480%

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 $316.
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 Baylor Scott & White Medical Center Pflugerville 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.