Electrocardiogram (ECG/EKG)
Facility: Ashland Health Center
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $252
- Cash Discount Price: $16
- vs. Medicare Baseline: 16.41x 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 1641% of the Medicare baseline (a markup of 1541%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $7 | 46% |
| Compalliance-All Plans | $16 | 104% |
| Health Partners Of Kansas-All Plans | $17 | 111% |
| Aetna | $20 | 130% |
| Multiplan-All Plans | $20 | 130% |
| Providers Care (Wppa)-All Plans | $30 | 195% |
| Medicaid / KanCare | $252 | 1641% |
| Healthy Blue Mcr Adv - All Other Plans | $412 | 2682% |
| UnitedHealthcare | $412 | 2682% |
| Medica Mcare - All Plans | $412 | 2682% |
| Medicare (plans) | $412 | 2682% |
| Health Choice-All Plans | $412 | 2682% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Ashland Health Center in Ashland, KS, the facility's cash median rate of $16.00 is slightly lower than the state average of $17.00. While Medicare sets a benchmark of $15.36, commercial insurance plans negotiate significantly higher rates, with the highest negotiated amount reaching $252.00 across various payers. This disparity highlights that for patients with high-deductible plans, paying the cash price of $16.00 upfront can be more cost-effective than relying on insurance, which may result in higher out-of-pocket costs if the deductible has not yet been met.
Patients should be aware that the facility's gross charge of $20.00 is not the final amount billed; instead, the actual cost depends on whether you pay cash or use insurance. To minimize expenses, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full before or shortly after the service. Additionally, since this is a Critical Access Hospital, the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, ensuring that unexpected charges are avoided even if ancillary services are billed separately.