Electrocardiogram (ECG/EKG)
Facility: Pratt Regional Medical Center
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $64
- Cash Discount Price: $50
- vs. Medicare Baseline: 4.17x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 417% of the Medicare baseline (a markup of 317%). 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 |
|---|---|---|
| Christian Health Aid | $47 - $113 | 306% |
| UnitedHealthcare | $52 - $154 | 339% |
| Health Partners Of Kansas | $53 - $128 | 345% |
| Aetna | $56 - $136 | 365% |
| Choicecare | $62 - $151 | 404% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Pratt Regional Medical Center in Pratt, KS, the cash median price is $50.00, which is significantly lower than the facility's negotiated rates and the state average. While the facility's negotiated rate of $64.00 is higher than the cash price, patients with high-deductible plans may find paying out-of-pocket cheaper if their insurance negotiated rate exceeds the cash amount. It is important to note that commercial rates often include administrative overhead and contract markups that do not reflect the true cost of care, making the cash price a more transparent benchmark for comparison.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, unexpected charges can still occur if ancillary services are not covered. To avoid surprise bills, consumers should request a full itemized CPT-coded bill before paying and dispute any errors in writing rather than accepting summary invoices. Additionally, before scheduling, patients should explicitly ask for self-pay or prompt-pay discounts, which can reduce costs by 20% to 50% by bypassing the insurance claims process and administrative fees.