Electrocardiogram (EKG, tracing only)
Facility: Salina Regional Health Center
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $158
- Cash Discount Price: $106
- vs. Medicare Baseline: 2.62x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 262% of the Medicare baseline (a markup of 162%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Preferred Phsic | $38 - $143 | 63% |
| Preferred Healthcare - All Other Plans | $51 - $193 | 85% |
| Providers Care (Wppa)-All Plans | $57 - $215 | 95% |
| Cigna | $57 - $215 | 95% |
| Multiplan (Mpi)-All Plans | $57 - $215 | 95% |
| Aetna | $57 - $215 | 95% |
| Blue Cross Blue Shield | $172 - $181 | 285% |
Consumer Guidance & Cost Commentary
For the electrocardiogram (EKG) procedure at Salina Regional Health Center in Salina, KS, the facility's cash median price of $106.00 is notably lower than the state average, which sits at $134.00. While the facility's negotiated rates for commercial payers range from $51 to $215, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket or utilizing prompt-pay discounts. It is important to note that commercial insurance contracts typically include administrative overheads that can inflate the baseline price by 20% to 40%, and assuming that being in-network guarantees the lowest possible cost is a common pitfall, as some in-network hospitals charge significantly more than others.
When evaluating the facility's pricing against federal standards, the Medicare amount of $60.27 serves as the objective baseline for this service. The facility's cash rate of $106.00 represents a markup of approximately 75% over the Medicare benchmark, which aligns closely with the fair pricing range of 120% to 150% of Medicare, whereas commercial negotiated rates often average 200% to 300% of the Medicare amount. To ensure you are receiving the best possible rate, we recommend requesting a formal itemized billing audit before payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Additionally, always verify your deductible status and ask specifically about self-pay or prompt-pay discounts prior to scheduling, as waiting until after receiving a large post-insurance bill may result in missing out on