Electrocardiogram (EKG, tracing only)
Facility: Wesley Medical Center
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $408
- Cash Discount Price: $1,922
- vs. Medicare Baseline: 6.77x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 677% of the Medicare baseline (a markup of 577%). 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 |
|---|---|---|
| UnitedHealthcare | $21 | 35% |
| Medicaid / KanCare | $21 | 35% |
| Amerigroup | $22 | 37% |
| Aetna | $22 - $999 | 37% |
| Blue Cross Blue Shield | $239 | 397% |
| United | $290 - $865 | 481% |
| Health Partners Of Kansas | $333 - $961 | 553% |
| Wppa | $334 | 554% |
| Ambetter / Centene | $346 | 574% |
| Medical Associates Health Plan | $363 | 602% |
| Preferred Health Choices | $363 | 602% |
| Spirit Aerosystems | $615 | 1020% |
| First Health | $886 | 1470% |
| Triwest Healthcare Alliance | $1,249 | 2072% |
| Multiplan | $1,345 - $1,730 | 2232% |
| Usa Managed Care | $1,634 | 2711% |
Consumer Guidance & Cost Commentary
For the electrocardiogram (EKG, tracing only) service at Wesley Medical Center in Wichita, KS, the cash median price is $1,922.00, which matches the facility's gross charge. This rate is significantly higher than the state average, reflecting a markup of 6.8 times the Medicare benchmark of $60.27. While commercial insurance plans like UnitedHealthcare and Medicaid/KanCare have negotiated rates as low as $21, many other payers, including Multiplan and Triwest Healthcare Alliance, negotiate amounts ranging from $1,345 to $1,730. Patients with high-deductible plans should consider that paying the cash price of $1,922.00 upfront might be more cost-effective than incurring a large deductible payment if their insurance negotiated rate exceeds this amount.
To minimize unexpected costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the bill by 20% to 50%. It is also important to request a full itemized CPT-coded bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be disputed. If a patient receives a balance bill for out-of-network services, they should not pay immediately out of fear of credit damage; instead, they should contact their insurer to request a No Surprises Act audit, as federal protections often ban these surprise charges for emergency and non-emergency care at in-network facilities.