Electrocardiogram (EKG, tracing only)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $255
- Cash Discount Price: $153
- vs. Medicare Baseline: 4.23x 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 423% of the Medicare baseline (a markup of 323%). 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 |
|---|---|---|
| Healthcare Highways [2210] | $209 | 347% |
| Aetna | $209 | 347% |
| Web Tpa [2115] | $209 | 347% |
| Oncology Patient Assistance Programs [2295] | $209 | 347% |
| Hooray Health [8000] | $209 | 347% |
| Blue Cross Blue Shield | $209 | 347% |
| Lucent Health [6000] | $209 | 347% |
| Black Lung [6055] | $209 | 347% |
| Department Of Corrections [1340] | $255 | 423% |
| Healthpartners [1500] | $295 | 489% |
| Cigna | $295 | 489% |
| National Association Of Letter Carriers [1695] | $295 | 489% |
| American Postal Workers Union [1070] | $295 | 489% |
| Humana | $301 | 499% |
| 1199 Seiu Benefit Fund [3505] | $343 | 569% |
| Enablecomp [1350] | $357 | 592% |
| Worker'S Comp [2125] | $357 | 592% |
| Multiplan [1680] | $396 | 657% |
| Administrative Concepts [1005] | $396 | 657% |
| American Healthcare [1055] | $396 | 657% |
| First Health [1375] | $396 | 657% |
| Coventry Healthcare [1320] | $418 | 694% |
| Ks Disability Determination [6090] | $510 | 846% |
Consumer Guidance & Cost Commentary
For the electrocardiogram (EKG, tracing only) service at the University Of Kansas Health System - St Francis Campus in Topeka, KS, the facility's negotiated rates range from $209 to $510, with a median negotiated amount of $255. This median rate is significantly higher than the facility's cash price of $153, illustrating that commercial insurance contracts often include administrative overheads that inflate the baseline cost. While the facility's negotiated rate is 4.2 times the Medicare benchmark of $60.27, patients with high-deductible plans may find the cash price more advantageous, as paying $153 upfront avoids the higher administrative costs embedded in insurance billing cycles. It is important to note that the facility's ownership structure as a voluntary non-profit church entity may influence these rates, but consumers should always verify specific plan allowances before scheduling to ensure they are receiving the best possible in-network pricing.
The data indicates that 23 different payers have negotiated rates for this code, with the lowest negotiated rate being $209 and the highest at $510, matching the facility's gross charge. Although the report does not provide explicit state or county average comparisons for this specific CPT code, the wide variance in negotiated rates across payers—ranging from $209 to $510—highlights the importance of checking individual plan details rather than assuming all in-network providers charge the same. Patients should proactively request a self-pay or prompt-pay discount before check-in, as hospitals often offer fee reductions of 20% to 50% for upfront payment that bypasses the costly claims processing and administrative labor associated with insurance billing