Electrocardiogram (EKG, tracing only)
Facility: Cheyenne County Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $252
- Cash Discount Price: $225
- vs. Medicare Baseline: 4.18x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 418% of the Medicare baseline (a markup of 318%). 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 | $161 - $265 | 267% |
| Blue Cross Blue Shield | $163 | 270% |
| First Health - All Plans | $185 | 307% |
| Tricare | $191 | 317% |
| Aetna | $191 - $252 | 317% |
| Healthy Blue Mcr Adv | $191 | 317% |
| Choice Care - All Plans | $193 | 320% |
| Firstguard - All Plans | $212 | 352% |
| Wppa - All Plans | $238 | 395% |
| Preferred Hc - All Plans | $252 | 418% |
| Cpm - All Plans | $252 | 418% |
| Midlands Choice - All Plans | $257 | 426% |
| Integrated Hp - All Plans | $260 | 431% |
| Ppo Next - All Plans | $260 | 431% |
| Health Partners - All Plans | $260 | 431% |
| Unicare - All Plans | $260 | 431% |
| Healthwave Mcaid - All Plans | $265 | 440% |
| Childrens Mercy - All Plans | $265 | 440% |
| Healthy Blue Mcaid - All Other Plans | $265 | 440% |
| Providers Care-All Plans | $397 | 659% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (EKG, tracing only) procedure at Cheyenne County Hospital, the cash price is $225.00, which is lower than the facility's gross charge of $265.00. While the median negotiated rate across 20 payers is $252.00, patients with high-deductible plans may find paying the cash price directly more cost-effective, as the cash rate is below the average negotiated amount. It is important to note that the facility, a Critical Access Hospital in St Francis, KS, offers a prompt-pay discount for upfront payment, which can further reduce the final bill by bypassing administrative claim processing fees.
The facility's pricing is benchmarked against the Medicare rate of $60.27, showing a markup of 4.2 times the Medicare amount. Although the median negotiated rate of $252.00 is higher than the cash price, it remains below the highest negotiated rates observed for this code, such as $397.00 with Providers Care-All Plans. Consumers should verify their specific plan's allowed amount before scheduling, as in-network rates vary significantly by carrier, and they should request a formal itemized bill to ensure no unbundled charges or services not rendered are included in the final statement.