Electrocardiogram (EKG, tracing only)
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $54
- Cash Discount Price: $208
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $53 | 88% |
| Aetna | $54 - $68 | 90% |
| Providrs Care Network | $54 | 90% |
| UnitedHealthcare | $54 - $65 | 90% |
| Blue Cross Blue Shield | $54 - $123 | 90% |
| United Mine Workers Of America | $54 | 90% |
| Lantern Specialty Care | $87 | 144% |
Consumer Guidance & Cost Commentary
For the CPT code 93005, Electrocardiogram (EKG, tracing only), Kansas Spine & Specialty Hospital, Llc in Wichita, KS, reported a gross charge of $320.00. While the facility's cash median price is $208.00, commercial insurance negotiated rates vary significantly by plan, ranging from $53.00 to $123.00 across seven payers. It is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures; therefore, patients with high-deductible plans may find paying the cash price of $208.00 more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the deductible is not yet met.
To ensure you are not overcharged, it is recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, patients should inquire about prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the administrative overhead of insurance claims. When evaluating the facility's pricing, focus on the Medicare benchmark of $60.27 rather than the gross charge; the cash rate of $208.00 represents a significant markup relative to this federal baseline, highlighting the importance of comparing rates against Medicare rather than the hospital's full list price.