Electrocardiogram (EKG, tracing only)
Facility: Overland Park Reg Med Ctr
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $768
- Cash Discount Price: $2,559
- vs. Medicare Baseline: 12.74x 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 1274% of the Medicare baseline (a markup of 1174%). 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 |
|---|---|---|
| Medicaid / KanCare | $21 | 35% |
| Amerigroup | $21 | 35% |
| United | $21 - $1,152 | 35% |
| Healthyblue | $21 | 35% |
| Unicare | $22 | 37% |
| Aetna | $22 - $1,029 | 37% |
| Home State Health Plan | $53 | 88% |
| Blue Cross Blue Shield | $333 - $1,100 | 553% |
| Ambetter / Centene | $476 | 790% |
| Oscar | $486 | 806% |
| Nhc Advantage | $486 | 806% |
| Wppa Providrs Care Network | $512 | 850% |
| Humana | $540 - $678 | 896% |
| Cigna | $635 - $944 | 1054% |
| Universal Healthcare | $896 | 1487% |
| Coventry | $1,029 | 1707% |
| Coventry Kc Mo | $1,049 | 1741% |
| College Park Family Care Center | $1,100 | 1825% |
| Oha Network | $1,280 | 2124% |
| Multiplan | $1,356 - $2,047 | 2250% |
| Corvel Corporation | $1,664 | 2761% |
| Focus Healthcare Mgmt, Inc | $1,919 | 3184% |
| Triwest Health Alliance | $1,919 | 3184% |
| Cco, Inc. | $1,919 | 3184% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (EKG) service at Overland Park Reg Med Ctr, the cash price of $2,559 is significantly higher than the state average, which sits at $688. While commercial insurance plans like United and Aetna negotiate rates ranging from $21 to $1,152, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. The facility's cash rate is also 12.7 times the Medicare benchmark of $60.27, indicating a substantial markup compared to the federal cost baseline. To potentially lower costs, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass the administrative overhead and negotiated rates that typically inflate commercial claims.
It is important to distinguish between the facility's gross charge and the actual amount billed to an insured patient. Although the facility's gross charge is $2,559, the median amount paid by insurers is $688, and the median negotiated rate is $768. However, because the cash price is lower than many of these negotiated amounts, patients should verify their specific plan's allowed amount before assuming insurance will result in a lower bill. If a patient receives a surprise bill that exceeds the cash price, they should request an itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors. Furthermore, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, so any unexpected charges should be disputed immediately rather than paid in