EKG tracing at Baylor Scott & White Medical Center - Grapevine. CPT 93005.

What Baylor Scott & White Medical Center - Grapevine publishes for this service, straight from its standard-charges file, last updated June 29, 2026.

Outpatient / ER

$272cash price (self-pay)

$453list price

$56.39–$917range insurers pay

Insurance plan	Negotiated rate
Baylor Scott & White Health Plan \| Medicare Advantage	$56.39
CORVEL \| Worker's Compensation	$57.58
Aetna \| Medicare Advantage	$59.36
Humana \| Medicare	$59.36
TriWest \| Community Care Network	$59.36
American Health Plan \| Medicare Advantage	$62.33
Blue Cross Blue Shield \| Medicare Advantage	$62.33
HealthSpring \| Medicare Advantage	$62.33
ProCare Advantage \| Medicare Advantage	$62.33
Superior Health Plan \| Medicare	$62.33
United Healthcare \| Medicare Advantage	$66.48
Superior Health Plan \| Medicaid	$67.98
Aetna \| Medicaid	$69.34
Baylor Scott & White Health Plan \| BSW Premier - Small Group	$71.23
Baylor Scott & White Health Plan \| BSW Premier - Individual	$74.50
Prime Health Services \| Worker's Compensation	$74.85
Sedgwick \| Preferred Network	$88.74
Baylor Scott & White Health Plan \| BSW Plus - Small Group	$97.94
Superior Ambetter \| Ambetter Exchange	$128
Mark Cuban \| Commercial	$152
Blue Cross Blue Shield \| Blue Advantage	$169
Employers Health Network \| BSWQA Direct/EHN Rental	$213
Baylor Scott & White Health Plan \| BSW Premier - Large Group/BSW Premi	$223
Cigna \| Local Plus	$223
QuikTrip \| Employee Benefit Plan	$249
Employers Health Network \| EHN Network	$249
Baylor Scott & White Health Plan \| BSW Plus - Large Group/BSW Premier	$263
Cigna \| HMO/PPO	$263
Imagine Health \| Commercial	$263
Curative \| Commercial	$295

$272cash price (self-pay)

$453list price

$249–$317range insurers pay

Insurance plan	Negotiated rate
QuikTrip \| Employee Benefit Plan	$249
Curative \| Commercial	$295
First Health \| PPO	$317

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