Electrocardiogram (ECG/EKG)
Facility: St. Catherine Hospital - Garden City
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $14
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.91x 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 $15.36 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 |
|---|---|---|
| UnitedHealthcare | $13 - $14 | 85% |
| Medicare (plans) | $13 - $14 | 85% |
| Aetna | $13 - $14 | 85% |
| Kansas Health | $13 | 85% |
| Blue Cross Blue Shield | $13 - $94 | 85% |
| Cigna | $13 - $14 | 85% |
| Kaiser | $13 - $14 | 85% |
| Humana | $13 - $14 | 85% |
| Innovage | $14 | 91% |
| Devoted Health | $14 | 91% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at St. Catherine Hospital in Garden City, KS, the facility's negotiated rates range from $13 to $14 across ten major payers, with a median negotiated amount of $14.00. This aligns closely with the state average for this service. While Medicare sets a benchmark rate of $15.36 for this code, commercial insurance contracts generally fall slightly below or at this level. It is important to note that while in-network insurance provides a ceiling on charges, the actual amount you pay depends on your specific plan's deductible and copay structure. If your plan has a high deductible, paying the cash price directly might be more cost-effective than relying on insurance, as commercial negotiated rates can sometimes exceed the cash price due to administrative overheads.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing costly insurance claims processing. Additionally, since this is an acute care hospital with a voluntary non-profit ownership, it is advisable to request a full itemized billing audit if you receive a summary bill, as over 80% of hospital invoices contain errors such as unbundled codes or charges for services not rendered. Under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, so do not feel pressured to pay unexpected bills immediately; instead, request a written audit dispute to ensure all charges are accurate and compliant with federal regulations.