Electrocardiogram (ECG/EKG)
Facility: Providence Medical Center
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $29
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.89x 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 |
|---|---|---|
| Oha Networks | $28 | 182% |
| UnitedHealthcare | $28 - $349 | 182% |
| Healthy Blue | $28 | 182% |
| Medicaid / KanCare | $28 | 182% |
| Celtic | $28 | 182% |
| Worker Compensation | $29 | 189% |
| Aetna | $32 - $34 | 208% |
| First Health | $34 | 221% |
Consumer Guidance & Cost Commentary
For an Electrocardiogram (ECG/EKG) at Providence Medical Center in Kansas City, the facility's negotiated rates range from $28 to $349 depending on the insurance plan, with a median negotiated payment of $29.00. The gross charge listed is $349.00. While the facility is a voluntary non-profit church-owned acute care hospital, the data indicates that cash and median paid values are not available for this specific service. It is important to note that cash-pay rates can sometimes be lower than insurance negotiated rates, particularly for patients with high-deductible plans, though specific cash pricing for this code was not reported in the current dataset.
When evaluating the cost of this service, it is crucial to compare rates against the Medicare benchmark rather than the hospital's gross chargemaster. The Medicare amount for this procedure is $15.36, and the facility's negotiated rates are approximately 1.9 times the Medicare rate. Commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price, so consumers should verify their specific plan's allowed amount before scheduling. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts directly with the hospital, as these upfront payment incentives can significantly reduce the final bill by bypassing costly insurance claims processing and administrative fees.