Electrocardiogram (ECG/EKG)
Facility: Mcpherson Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $71
- Cash Discount Price: $69
- vs. Medicare Baseline: 4.62x 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 $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 462% of the Medicare baseline (a markup of 362%). 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 |
|---|---|---|
| Tricare | $12 | 78% |
| Healthy Blue Mcr Adv | $14 | 91% |
| Wellcare Mcr Adv - All Plans | $14 | 91% |
| Blue Cross Blue Shield | $14 | 91% |
| Va Ccn - All Plans | $14 | 91% |
| Humana | $14 | 91% |
| UnitedHealthcare | $14 - $93 | 91% |
| Ambetter / Centene | $16 | 104% |
| Wppa - All Plans | $65 | 423% |
| Medical Associates - All Plans | $70 | 456% |
| Central Plains - All Plans | $70 | 456% |
| Christian Health Aid - All Plans | $74 | 482% |
| Aetna | $77 - $93 | 501% |
| Multiplan - All Plans | $84 | 547% |
| Health Partners - All Plans | $88 | 573% |
| First Health - All Plans | $88 | 573% |
| Cigna | $88 | 573% |
| Medicaid / KanCare | $93 | 605% |
| Health Blue Mcaid - All Other Plans | $95 | 618% |
Consumer Guidance & Cost Commentary
For an Electrocardiogram (ECG/EKG) at McPherson Hospital in McPherson, KS, the cash price is $69.00, which is lower than the facility's negotiated rates with most major insurers. While the median negotiated rate across payers is $71.00, UnitedHealthcare offers a range from $12 to $93, and Aetna ranges from $77 to $93, meaning patients with high-deductible plans might save money by paying the cash price directly. It is important to note that commercial rates often exceed cash prices due to administrative costs and contract structures; for instance, the facility's cash rate is significantly lower than the gross charge of $93.00. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final amount owed.
The facility's pricing is evaluated against the Medicare benchmark of $15.36, which serves as the objective baseline for healthcare costs in this region. Although the cash price of $69.00 is higher than the Medicare rate, it remains below the gross chargemaster, reflecting the facility's status as a voluntary non-profit acute care hospital. Commercial negotiated rates typically average 200% to 300% of Medicare, but fair pricing is generally defined as 120% to 150% of the Medicare amount. If you receive a bill from an out-of-network provider at this in-network facility, the No Surprises Act protects you from balance billing for emergency care and non-emergency services, so you should dispute any unexpected charges immediately rather than