Electrocardiogram (EKG, tracing only)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $84
- Cash Discount Price: $35
- vs. Medicare Baseline: 1.39x 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.
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 |
|---|---|---|
| Hchsync Centrus Health Direct [503999916] | $32 - $84 | 53% |
| Wppa [503200056] | $45 - $100 | 75% |
| Meritain Health [503200039] | $45 - $143 | 75% |
| Alt Wppa [5032000964] | $45 - $100 | 75% |
| Alt Carelon Behavioral Health [503200905] | $54 - $120 | 90% |
| Workers Comp [503999901] | $55 - $203 | 91% |
| Ku Athletics [503200094] | $55 | 91% |
| UnitedHealthcare | $55 - $114 | 91% |
| Medicare (plans) | $56 | 93% |
| Allwell [503200078] | $57 | 95% |
| Blue Cross Blue Shield | $57 | 95% |
| Humana | $58 | 96% |
| Triwest [503201703] | $58 | 96% |
| Tricare | $58 | 96% |
| Aha-Healthcare Preferred [503200050] | $65 - $143 | 108% |
| Php [503200005] | $65 - $143 | 108% |
| First Health [5032000110] | $65 - $143 | 108% |
| Allied National [503999937] | $65 - $143 | 108% |
| Alt Meritain Health [503999911] | $65 - $143 | 108% |
| National Assn Letter Carriers [503200019] | $65 - $143 | 108% |
| Aetna | $65 - $143 | 108% |
| Cigna | $65 - $191 | 108% |
| Centurion [5032000966] | $72 | 119% |
| Correct Care Solutions [50311253] | $76 - $167 | 126% |
| Ambetter / Centene | $80 | 133% |
| Usa Managed Care [503999030] | $97 - $215 | 161% |
| Geha [503200036] | $114 | 189% |
| Medica [503200074] | $114 | 189% |
| Occunet [503999930] | $116 | 192% |
| Fort Hays State Student Athletes [5032000960] | $116 | 192% |
| 6 Degrees Health [503999050] | $138 | 229% |
| Advanced Medical Pricing Solutions [503301513] | $174 | 289% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (EKG) service at the University of KS Health System Great Bend Campus, the facility's cash median rate of $35.00 is significantly lower than the negotiated rates paid by most insurance plans, which range from $32 to $215 depending on the carrier. While Medicare sets a benchmark of $60.27, the facility's cash price offers a substantial discount for patients paying directly. However, commercial insurance contracts often result in higher out-of-pocket costs for members who have not yet met their deductibles, as the negotiated rates for many payers exceed the cash price. Patients should verify their specific deductible status before scheduling, as paying cash upfront may be more cost-effective if the insurance allowed amount is higher than the cash rate.
To minimize unexpected costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full before or shortly after the service. It is important to avoid balance billing, as federal protections like the No Surprises Act generally prevent providers from charging patients the difference between the chargemaster and the insurance allowed amount for out-of-network services at in-network facilities. If you receive a bill, always request a detailed, itemized statement rather than accepting a summary invoice, and consider filing a formal audit dispute if you identify errors, as over 80% of hospital bills contain inaccuracies that can be corrected.