Electrocardiogram (EKG, tracing only)
Facility: Menorah Medical Center
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $346
- Cash Discount Price: $1,161
- vs. Medicare Baseline: 5.74x 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 574% of the Medicare baseline (a markup of 474%). 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 |
|---|---|---|
| Amerigroup | $21 | 35% |
| Medicaid / KanCare | $21 | 35% |
| United | $21 - $523 | 35% |
| Healthyblue | $21 | 35% |
| Aetna | $22 - $467 | 37% |
| Unicare | $22 | 37% |
| Home State Health Plan | $53 | 88% |
| Blue Cross Blue Shield | $151 - $523 | 251% |
| Ambetter / Centene | $216 | 358% |
| Nhc Advantage | $221 | 367% |
| Oscar | $221 | 367% |
| Wppa Providrs Care Network | $232 | 385% |
| Humana | $245 - $308 | 407% |
| Cigna | $288 - $929 | 478% |
| Universal Healthcare | $406 | 674% |
| Coventry | $467 | 775% |
| Coventry Kc Mo | $476 | 790% |
| College Park Family Care Center | $499 | 828% |
| Oha Network | $581 | 964% |
| Multiplan | $615 - $929 | 1020% |
| Corvel Corporation | $755 | 1253% |
| Focus Healthcare Mgmt, Inc | $871 | 1445% |
| Cco, Inc. | $871 | 1445% |
| Triwest Health Alliance | $871 | 1445% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (EKG) service at Menorah Medical Center in Overland Park, KS, the cash price is $1,161.00, which matches the facility's cash median. While the facility's negotiated rates with insurance payers range from $21 to $929, these amounts are generally higher than the cash price due to administrative costs and contract structures. It is important to note that for patients with high-deductible plans, paying the cash price directly can sometimes be more cost-effective than relying on insurance, as the insurer's allowed amount often exceeds the cash rate. Additionally, patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing the costly insurance claims process.
The facility's pricing is benchmarked against the Medicare rate of $60.27, which serves as the objective baseline for evaluating hospital markups. Although the data does not provide specific state or county average comparisons for this specific CPT code, the significant difference between the Medicare rate and the commercial cash price highlights the typical markup structure in healthcare. To avoid unexpected costs, patients should request a full itemized bill to review every line item and ensure no unbundled charges or services not rendered are included. If a balance bill arises from an out-of-network provider, patients should not pay immediately but instead dispute the charge with their insurer to enforce federal protections under the No Surprises Act.