Electrocardiogram (EKG, tracing only)
Facility: Labette Health
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $38
- Cash Discount Price: $95
- vs. Medicare Baseline: 0.63x 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 |
|---|---|---|
| Aetna | $5 | 8% |
| Kansas Superior Select | $6 - $57 | 10% |
| Montgomery County | $6 - $101 | 10% |
| Uhccp | $15 | 25% |
| Multiplan | $21 - $184 | 35% |
| Medicaid / KanCare | $21 - $55 | 35% |
| Healthy Blue | $21 | 35% |
| Wellcare | $55 | 91% |
| Humana | $55 | 91% |
| Blue Cross Blue Shield | $55 - $164 | 91% |
| UnitedHealthcare | $55 - $189 | 91% |
| Ambetter / Centene | $63 | 105% |
| Choicecare (First Health Network) | $195 | 324% |
| Health Partners Of Kansas, Inc | $195 | 324% |
Consumer Guidance & Cost Commentary
For the CPT code 93005, Electrocardiogram (EKG, tracing only), Labette Health in Parsons, KS, lists a cash median price of $95.00, which is significantly higher than the state average of $60.27. While commercial insurance plans negotiate rates that typically range from $5 to $189 depending on the carrier, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $95.00 rate is lower than many commercial negotiated rates, effectively bypassing the higher administrative costs embedded in insurance billing cycles.
To ensure you are receiving the most accurate pricing, it is critical to request an itemized billing audit before finalizing payment, as summary bills can obscure individual charges and potential errors. Additionally, you should inquire about prompt-pay discounts, which can reduce the total cost by 20% to 50% if settled upfront, and verify that your specific plan's negotiated rate is indeed higher than the cash option. Since this facility is a government-owned acute care hospital, transparency regarding these rates is essential, and comparing the facility's specific negotiated amounts against the broader county and state averages helps clarify whether the listed prices align with fair market value.