CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $271
Cash Discount Price: $146
vs. Medicare Baseline: 4.50x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at CHI St Lukes Health Memorial San Augustine is $271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.50x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.

Cash / Self-Pay

$146

Average discount available for prompt cash payment at this facility.

Insurance Median

$271

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: $146 (242%)

Insurance Median: $271 (450%)

Cash: $146 (242% of Medicare)

Ins. Median: $271 (450% 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 450% of the Medicare baseline (a markup of 350%). 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
Aetna	$54 - $295	90%
Humana	$54 - $825	90%
Wellpoint	$56 - $88	93%
Cigna	$57 - $100	95%
Blue Cross Blue Shield	$59 - $146	98%
United	$59 - $1,179	98%
Scanhealth	$60	100%
Md Save	$67	111%
Angelina County	$147	244%
Brookshire Brothers	$162	269%
PHCS	$522 - $943	866%
Multiplan	$537 - $825	891%
Galaxy	$690 - $1,061	1145%
Entrust	$798 - $1,226	1324%

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 $146.
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 CHI St Lukes Health Memorial San Augustine 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.