Electrocardiogram (ECG/EKG)
Facility: Kearny County Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $274
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 17.84x 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 1784% of the Medicare baseline (a markup of 1684%). 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 | $245 | 1595% |
| Community Care Health Plan Of | $274 - $548 | 1784% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Kearny County Hospital in Lakin, KS, the facility's negotiated rate of $274.00 is significantly higher than the state average, which stands at $15.36. This substantial markup reflects the administrative costs and contract structures inherent in commercial insurance billing, where rates often exceed the federal Medicare benchmark by a wide margin. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial negotiated rates can sometimes exceed cash prices; however, since the cash median is not available for this service, the most reliable path to cost certainty is verifying the specific "self-pay" or "prompt-pay" discount rates directly with the hospital before scheduling.
To ensure you are not overpaying, it is crucial to request a full itemized bill rather than accepting a summary invoice, as hospitals may obscure individual charges under broad categories like "Laboratory." If you receive a bill, carefully review it for code unbundling—where components of a single procedure are charged separately—or services that were never rendered. Additionally, while the No Surprises Act protects you from balance billing for out-of-network emergency services at in-network facilities, you should still confirm your deductible status before using insurance, as high negotiated rates may be subject to your out-of-pocket maximum only after you have met your plan's deductible threshold.