Electrocardiogram (EKG, tracing only)
Facility: Ellinwood District Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $81
- Cash Discount Price: $98
- vs. Medicare Baseline: 1.34x 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 |
|---|---|---|
| Cigna | $80 | 133% |
| Blue Cross Blue Shield | $80 | 133% |
| Humana | $80 | 133% |
| UnitedHealthcare | $80 | 133% |
| Aetna | $80 | 133% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (EKG, tracing only) procedure at Ellinwood District Hospital in Ellinwood, KS, the cash median price is $98.00, which is lower than the facility's negotiated rate of $109.00. This facility, a Critical Access Hospital owned by a Government Hospital District, has a single negotiated rate of $80.00 across all five major payers including Cigna, Blue Cross Blue Shield, Humana, UnitedHealthcare, and Aetna. Since the cash price is lower than the negotiated amount, patients with high-deductible plans may save money by paying out-of-pocket, provided they verify the specific "self-pay" or "prompt-pay" discounts available at the hospital before scheduling.
The Medicare benchmark for this service is $60.27, and the facility's cash rate of $98.00 represents a 1.3x markup relative to this federal baseline. While the negotiated rate of $80.00 is lower than the gross charge of $115.00, it remains above the Medicare amount. Consumers should be aware that hospitals often issue summary bills that obscure individual line items; to avoid balance billing or unexpected costs, patients should request a full itemized, CPT-coded bill before paying. Additionally, if a patient chooses to use insurance, they must explicitly sign a waiver to prevent the hospital from submitting a claim that could void any upfront cash discount agreements.