Electrocardiogram (EKG, tracing only)
Facility: St. Catherine Hospital - Garden City
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $98
- Cash Discount Price: $194
- vs. Medicare Baseline: 1.63x 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 |
|---|---|---|
| Kaiser | $5 - $229 | 8% |
| Kansas Health | $5 | 8% |
| Cigna | $5 - $119 | 8% |
| Aetna | $5 - $456 | 8% |
| Medicare (plans) | $5 - $6 | 8% |
| UnitedHealthcare | $5 - $481 | 8% |
| Blue Cross Blue Shield | $5 - $195 | 8% |
| Humana | $5 - $6 | 8% |
| Devoted Health | $6 | 10% |
| Innovage | $6 | 10% |
| Direct To Employer | $70 - $332 | 116% |
| Centura Employee Plan | $75 | 124% |
| Peak Health | $93 - $324 | 154% |
| Wpaa | $98 | 163% |
| Christian Health Aid | $112 | 186% |
| Multiplan | $126 - $705 | 209% |
| Health Partners Of Kansas | $136 | 226% |
| Denver Health | $196 | 325% |
| United Colorado Doctor'S Plan | $311 | 516% |
Consumer Guidance & Cost Commentary
For the CPT code 93005, Electrocardiogram (EKG, tracing only), St. Catherine Hospital - Garden City reported a gross charge of $485.00, with a cash median of $194.00 and a median negotiated rate of $98.00. This cash price is significantly lower than the facility's gross charge, and while specific state or county average data was not provided in the report, the cash rate of $194.00 is notably higher than the Medicare benchmark of $60.27, which serves as the federal baseline for cost. Patients with high-deductible plans may find the cash price more advantageous than their insurance negotiated rates, as some commercial payers listed in the data, such as Multiplan and UnitedHealthcare, have negotiated ranges extending well above the cash median. It is important to note that while the facility is a voluntary non-profit church-owned hospital, the cash rate does not automatically guarantee the lowest possible cost, as prompt-pay discounts of 20% to 50% may be available if paid in full upfront before the insurance billing cycle begins.
When considering payment options, consumers should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though out-of-network ancillary services like certain lab tests could potentially trigger unexpected bills. To avoid these surprises, patients should request a full itemized billing audit before finalizing payment, as summary bills often obscure individual code costs and unbundled charges. Furthermore, since the facility's gross charge is substantially higher than the Medicare rate, patients should verify their specific plan's allowed amount before