Electrocardiogram (EKG, tracing only)
Facility: Kearny County Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $245
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 4.07x 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 407% of the Medicare baseline (a markup of 307%). 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 |
|---|---|---|
| Community Care Health Plan Of | $245 - $490 | 407% |
| Benefit Plan Administrators | $245 | 407% |
| Humana | $245 - $490 | 407% |
| Aetna | $245 | 407% |
| Kansas Solutions | $245 | 407% |
| Meritain Health | $245 | 407% |
| UnitedHealthcare | $245 - $735 | 407% |
| Wps Gha - Mac J5 Part A | $245 - $490 | 407% |
| Blue Cross Blue Shield | $245 - $735 | 407% |
Consumer Guidance & Cost Commentary
For the CPT code 93005 (Electrocardiogram, tracing only) at Kearny County Hospital in Lakin, KS, the facility's negotiated rate of $245 aligns exactly with the median negotiated rate across the state. While the facility's gross charge is $245, commercial payers like UnitedHealthcare and Blue Cross Blue Shield have negotiated rates ranging from $245 to $735, reflecting the variability in contract terms. It is important to note that the facility's cash median is not available in this dataset; however, patients with high-deductible plans should be aware that paying cash upfront can sometimes result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price. To secure the best possible rate, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing fees.
When reviewing your final invoice, it is crucial to request a full itemized bill rather than accepting a summary statement that may obscure individual charges. Over 80% of hospital bills contain errors, such as code unbundling or charges for services not rendered, which can lead to unexpected debt. If you receive a balance bill for an out-of-network service at this in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency care at in-network hospitals. In such cases, do not pay the bill immediately out of fear of credit damage; instead, dispute the charge with your insurer and request a formal audit to ensure you are only responsible for your deductible and copay amounts.