Electrocardiogram (ECG/EKG)
Facility: Overland Park Reg Med Ctr
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $28
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.82x 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 |
|---|---|---|
| Blue Cross Blue Shield | $11 | 72% |
| Triwest Health Alliance | $11 | 72% |
| Healthyblue | $28 | 182% |
| Medicaid / KanCare | $28 | 182% |
| United | $28 | 182% |
| Amerigroup | $28 | 182% |
| Unicare | $29 | 189% |
| Aetna | $29 | 189% |
Consumer Guidance & Cost Commentary
For an Electrocardiogram (ECG/EKG) at Overland Park Reg Med Ctr in Overland Park, KS, the negotiated rate is $28.00, which aligns with the lowest and highest values reported across all eight payers, including Blue Cross Blue Shield, Triwest Health Alliance, and United. This negotiated amount is significantly higher than the Medicare benchmark of $15.36, reflecting a markup of 1.8 times the federal rate. While commercial insurance contracts often result in higher prices due to administrative costs and network tiering, patients with high-deductible plans may find that paying cash directly is more cost-effective, as the cash price can sometimes be lower than the insurance negotiated rate. It is important to note that cash rates are not explicitly listed in this report, so patients should contact the facility directly to inquire about self-pay or prompt-pay discounts, which can offer immediate fee reductions for upfront payment.
This facility, an Acute Care Hospital with a Proprietary ownership structure, operates under a vintage date of 2026-06. While the data does not provide specific county or state average comparisons for this specific CPT code, the significant variance between the Medicare baseline and the commercial negotiated rates highlights the importance of understanding how insurance contracts influence pricing. Patients should be aware that balance billing is generally prohibited for emergency services and non-emergency care at in-network facilities under the No Surprises Act, though unexpected charges can still occur if ancillary services like lab tests are out-of-network. To ensure accuracy and avoid errors, consumers should request a full itemized bill before paying, as summary invoices may obscure unbundled codes or services not rendered. Disputing any discrepancies