Electrocardiogram (ECG/EKG)
Facility: Rawlins County Health Center
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $228
- Cash Discount Price: $223
- vs. Medicare Baseline: 14.84x 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 1484% of the Medicare baseline (a markup of 1384%). 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 | $228 | 1484% |
Consumer Guidance & Cost Commentary
For an Electrocardiogram (ECG/EKG) performed at Rawlins County Health Center in Atwood, Kansas, the cash price is $223.00, which is lower than the facility's negotiated rate of $228.00. This service is provided by a Critical Access Hospital, and while the facility has a contract with UnitedHealthcare, the cash option may be more cost-effective for patients with high-deductible plans or those without insurance, as the cash price avoids the administrative markup inherent in insurance billing. Patients should verify their specific plan's deductible status before scheduling, as paying the negotiated rate upfront could result in higher out-of-pocket costs if the deductible has not yet been met.
To ensure you receive the most accurate billing, it is important to request an itemized bill that lists specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled charges or services not rendered. Additionally, if you are self-pay, ask the billing department about "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if paid in full within 30 days. Since the Medicare benchmark for this procedure is $15.36, the commercial rates reflect standard market pricing rather than the federal baseline, and any unexpected balance billing should be disputed immediately with the insurer to protect against surprise charges.