Electrocardiogram (EKG, tracing only)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $55
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.91x 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 $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 |
|---|---|---|
| Va | $55 | 91% |
| Saint Lukes Health Systems | $55 | 91% |
| Via Christi Research | $55 | 91% |
| Vc Hope | $55 | 91% |
| Humana | $55 | 91% |
| Medicare (plans) | $55 - $56 | 91% |
| UnitedHealthcare | $56 - $154 | 93% |
| Blue Cross Blue Shield | $56 | 93% |
| Corizon | $69 | 114% |
| Smarthealth | $77 | 128% |
| Medicaid / KanCare | $93 | 154% |
Consumer Guidance & Cost Commentary
For the electrocardiogram (EKG, tracing only) procedure at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates across 11 payers range from $55 to $154, with a median negotiated amount of $55.00. This facility is located in Wichita, Kansas, and operates as a voluntary non-profit acute care hospital. While specific cash and median paid values are not available in the current dataset, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price. It is highly recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which may offer a fee reduction of 20% to 50% for upfront payment, effectively bypassing the administrative costs associated with insurance claims processing.
The Medicare benchmark for this service is $60.27, which serves as a key reference point for evaluating pricing fairness. Commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price, with fair pricing typically defined as 120% to 150% of the Medicare rate. Although the provided data does not include explicit state or county average comparisons for this specific code, patients should verify their plan's deductible status before scheduling, as high negotiated rates may be subject to patient responsibility if the deductible has not been met. To ensure transparency and avoid unexpected charges, consumers should request a full itemized CPT-coded bill rather than accepting summary invoices, allowing them to identify any unbundled codes or services not rendered.