Electrocardiogram (EKG, tracing only)
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $58
- Cash Discount Price: $237
- vs. Medicare Baseline: 0.96x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $5 - $57 | 8% |
| Aetna | $5 - $309 | 8% |
| Medicaid / KanCare | $5 - $58 | 8% |
| Blue Cross Blue Shield | $21 - $198 | 35% |
| UnitedHealthcare | $51 - $245 | 85% |
| Tricare | $57 | 95% |
| Pace Of The Ozarks Contracted [320518] | $57 | 95% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $57 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $57 | 95% |
| Halo Hcr Inc Hospice [20432] | $57 | 95% |
| Kindful Hospice [20434] | $57 | 95% |
| Elara Caring Aspire Hospice [20433] | $57 | 95% |
| Cross Timbers Hospice [20098] | $57 | 95% |
| Medicare (plans) | $57 - $59 | 95% |
| Mercy Hospice Okc [20252] | $57 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $57 | 95% |
| Kindful Hospice Contracted [320434] | $57 | 95% |
| Home State Health Plan Contracted [320187] | $58 | 96% |
| Ambetter / Centene | $58 | 96% |
| Providrs Care Network Contracted [320484] | $110 | 183% |
| Health Choice Contracted [320166] | $119 | 197% |
| Medica Contracted [320239] | $132 | 219% |
| United Medical Resources Contracted [320454] | $245 | 407% |
| Cigna | $251 - $280 | 416% |
| Aither Health Contracted [320449] | $291 | 483% |
| Edison Health Solutions Contracted [320502] | $291 | 483% |
| Auxiant Contracted [320462] | $291 | 483% |
| Reflect Health Contracted [320492] | $291 | 483% |
| American Healthcare Alliance Contracted [320020] | $291 | 483% |
| Imagine 360 Contracted [320494] | $291 | 483% |
| Healthlink Contracted [320179] | $291 | 483% |
| Mercy Benefit Admin Contracted [320251] | $291 | 483% |
| Yuzu Health Contracted [320521] | $291 | 483% |
| Workers Comp [20426] | $291 | 483% |
| Ebms Contracted [320493] | $291 | 483% |
| First Health Contracted [320128] | $309 | 513% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (EKG, tracing only) service at Mercy Hospital Pittsburg, Inc, the facility's cash price of $237.00 is significantly higher than the state average of $59.00, though it aligns closely with the Medicare benchmark of $60.27. While commercial insurance plans like Humana and Aetna negotiate rates ranging from $5 to $309, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $237.00 rate is lower than many in-network negotiated fees, provided they can secure a "waiver of insurance submission" to avoid automatic claims processing that would void any cash discount.
To minimize costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling their appointment, as hospitals often offer 20% to 50% reductions for upfront payments that bypass costly claims processing. It is important to verify your specific plan's allowed amount before visiting, as assuming that being in-network guarantees the lowest price can lead to unexpected bills if the negotiated rate is higher than the cash option. Additionally, if you receive an itemized bill, review it carefully for errors or unbundled codes, as over 80% of hospital bills contain discrepancies that can be resolved through a formal written audit dispute rather than accepting the summary invoice.