Electrocardiogram (ECG/EKG)
Facility: Wesley Medical Center
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $30
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.95x 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.
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 |
|---|---|---|
| Triwest Health Alliance | $11 | 72% |
| Medicaid / KanCare | $28 | 182% |
| UnitedHealthcare | $28 | 182% |
| Amerigroup | $29 | 189% |
| Aetna | $29 - $999 | 189% |
| Blue Cross Blue Shield | $31 | 202% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Wesley Medical Center in Wichita, KS, the facility's negotiated rates range from $11 to $31 depending on the insurance plan, with a median negotiated amount of $30.00. This price point is significantly higher than the state average, which is 2.0 times the Medicare benchmark of $15.36. While commercial insurance contracts often result in higher costs due to administrative overhead and network tiering, patients with high-deductible plans may find that paying the cash price directly is more economical, as the cash rate can sometimes be lower than the insurance negotiated rate. It is important to verify your specific plan's allowed amount before scheduling, as assuming in-network status guarantees the lowest price can lead to unexpected costs if the facility's contract rate exceeds your expectation.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is still advisable to request a full itemized bill to identify any errors, double-billing, or unbundled charges that may have occurred. If you choose to pay out-of-pocket, ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by offering immediate liquidity incentives that bypass costly claims processing. Since over 80% of hospital bills contain errors, disputing any discrepancies in writing with the billing supervisor is a critical step to ensure you are only paying for services rendered at the correct rate.