Electrocardiogram (ECG/EKG)
Facility: Grisell Memorial Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $116
- Cash Discount Price: $116
- vs. Medicare Baseline: 7.55x 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 755% of the Medicare baseline (a markup of 655%). 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 |
|---|---|---|
| UnitedHealthcare | $91 - $122 | 592% |
| Blue Cross Blue Shield | $104 - $110 | 677% |
| Humana | $122 | 794% |
| Medicaid / KanCare | $122 | 794% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Grisell Memorial Hospital in Ransom, KS, the cash price is $116.00, which is slightly lower than the facility's negotiated rate of $116.00 and the median paid amount of $110.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that commercial insurance rates can sometimes exceed cash prices; if your plan has a high deductible, paying the cash price of $116.00 upfront may result in lower out-of-pocket costs compared to your insurance's negotiated rate. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these programs often provide immediate fee reductions for upfront payments.
This service is benchmarked against federal standards, where the Medicare amount for this code is $15.36. The facility's cash rate of $116.00 represents a significant markup over the Medicare baseline, which is a common pricing structure for commercial services. Because over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary bill to ensure no charges for services not rendered or unbundled codes are included. If you receive a balance bill from an out-of-network provider, even at an in-network facility, you may have protections under the No Surprises Act; in such cases, do not pay immediately and instead dispute the bill with your insurer to avoid unexpected costs.