Electrocardiogram (ECG/EKG)
Facility: Menorah Medical Center
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 |
|---|---|---|
| Triwest Health Alliance | $11 | 72% |
| Blue Cross Blue Shield | $11 | 72% |
| Amerigroup | $28 | 182% |
| Medicaid / KanCare | $28 | 182% |
| Healthyblue | $28 | 182% |
| United | $28 | 182% |
| Aetna | $29 | 189% |
| Unicare | $29 | 189% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Menorah Medical Center in Overland Park, KS, the facility's negotiated rates range from $11 to $29 depending on the insurance carrier, with a median negotiated amount of $28.00. This pricing is significantly higher than the state average, which is approximately 1.8 times the Medicare benchmark rate of $15.36. While commercial insurance plans provide a ceiling on charges, patients should be aware that cash-pay options may sometimes result in lower out-of-pocket costs, particularly for those with high-deductible plans where the insurance negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can offer immediate fee reductions for upfront payments.
Patients should exercise caution regarding balance billing, as out-of-network providers or specific ancillary services like emergency physicians or lab tests may trigger unexpected bills for the difference between the chargemaster rate and the insurance allowed amount. Although the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is crucial to verify network status and avoid signing consent waivers that might waive these protections. Furthermore, if a bill is received, consumers should request a full itemized audit rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written dispute.