Electrocardiogram (EKG, tracing only)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $55
- 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 $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 |
|---|---|---|
| Humana | $55 | 91% |
| Saint Lukes Health Systems | $55 | 91% |
| Va | $55 | 91% |
| Vc Hope | $55 | 91% |
| Via Christi Research | $55 | 91% |
| Medicare (plans) | $55 - $56 | 91% |
| UnitedHealthcare | $56 - $154 | 93% |
| Blue Cross Blue Shield | $56 | 93% |
| Corizon | $69 | 114% |
| Smarthealth | $77 | 128% |
| Medicaid / KanCare | $93 | 154% |
Consumer Guidance & Cost Commentary
For the electrocardiogram (EKG, tracing only) procedure at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rates range from $55 to $154 depending on the insurance plan. While the median negotiated rate is $55, which aligns with the lowest end of the spectrum for most major payers like Humana and Saint Lukes Health Systems, the UnitedHealthcare plan shows a wider range, with rates reaching up to $154. It is important to note that cash-pay options are not listed for this specific code, meaning patients without insurance or with high-deductible plans may not qualify for the potential savings of paying out-of-pocket. Patients should always verify with the hospital whether "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can significantly reduce costs compared to standard billing cycles.
This procedure is benchmarked against the federal Medicare rate of $60.27, which serves as a reliable baseline for evaluating fair pricing. The facility's median negotiated rate of $55 is slightly below the Medicare amount, indicating a competitive pricing structure for in-network members. However, the variation in rates across different payers highlights the importance of checking your specific plan details before scheduling, as some commercial plans may result in higher out-of-pocket costs than others. Given that over 80% of hospital bills contain errors, consumers should request a detailed, itemized statement to ensure all charges are accurate and to identify any unbundled codes or services not rendered.