Electrocardiogram (ECG/EKG)
Facility: Kansas Heart Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $60
- Cash Discount Price: $39
- vs. Medicare Baseline: 3.91x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 391% of the Medicare baseline (a markup of 291%). 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 |
|---|---|---|
| Tricare | $13 | 85% |
| Humana | $14 | 91% |
| UnitedHealthcare | $14 - $155 | 91% |
| Celtic Mcr Adv | $14 | 91% |
| Medicaid / KanCare | $14 - $64 | 91% |
| Wppa - All Plans | $24 - $26 | 156% |
| Multiplan - All Plans | $54 - $58 | 352% |
| Aetna | $58 - $64 | 378% |
| Blue Cross Blue Shield | $60 - $64 | 391% |
| Celtic Mcaid - All Other Plans | $60 - $64 | 391% |
| Soonerselect Mcaid - All Plans | $60 - $64 | 391% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Kansas Heart Hospital in Wichita, KS, the cash median price is $39.00, which is lower than the facility's negotiated rate of $60.00 and significantly below the Medicare benchmark of $15.36 when adjusted for local costs. While commercial payers like UnitedHealthcare and Aetna have negotiated rates ranging from $14 to $64, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds $39.00. It is important to note that comparing these rates directly to the facility's gross charge of $62.00 can be misleading, as chargemasters are inflated to make discounts appear larger; the most accurate baseline for evaluating pricing fairness is the Medicare rate, which represents the true cost of care delivery.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as paying in full upfront can often reduce the bill by 20% to 50% by bypassing administrative claim processing fees. Although the facility is in-network for major carriers like Tricare and Humana, the No Surprises Act protects patients from balance billing for out-of-network services at this acute care hospital, ensuring that emergency or mandatory ancillary services are covered at in-network rates. To avoid unexpected costs, consumers should request a detailed, itemized billing audit rather than accepting a summary bill, as over 80% of hospital invoices contain errors such as double-billing or unbundled codes that can be corrected through a formal written dispute.