Electrocardiogram (EKG, tracing only)
Facility: Wichita County Health Center
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $68
- Cash Discount Price: $60
- vs. Medicare Baseline: 1.13x 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 |
|---|---|---|
| Medicaid / KanCare | $62 | 103% |
| UnitedHealthcare | $75 | 124% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (EKG) service at Wichita County Health Center in Leoti, Kansas, the facility's cash price of $60.00 is notably lower than the median negotiated rate of $68.00 and the Medicare benchmark of $60.27. While Medicaid / KanCare members pay the full $62.00 and UnitedHealthcare members pay the full $75.00, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds this amount. It is important to note that while the facility is a Critical Access Hospital owned by the local government, the cash rate does not automatically apply to insured patients; you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling to ensure you are not charged the higher insurance negotiated rate.
This service is subject to federal protections against surprise billing under the No Surprises Act, which prevents balance billing for out-of-network providers at in-network facilities. If you receive an unexpected bill for this procedure, you should request an itemized audit to verify that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors. Since the facility's cash rate is already close to the Medicare benchmark, there is limited room for further reduction through standard discounts, but verifying your specific plan's allowed amount and checking for any prompt-pay incentives can help you avoid paying the full $75.00 charged by UnitedHealthcare or the $62.00 charged by Medicaid.