Electrocardiogram (EKG, tracing only)
Facility: Logan County Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $260
- Cash Discount Price: $75
- vs. Medicare Baseline: 4.31x 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 431% of the Medicare baseline (a markup of 331%). 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 |
|---|---|---|
| Humana | $159 | 264% |
| Blue Cross Blue Shield | $164 | 272% |
| Health Partners - All Plans | $356 | 591% |
| Medicaid / KanCare | $375 | 622% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (EKG) service at Logan County Hospital in Oakley, Kansas, the negotiated rates paid by major insurers like Humana and Blue Cross Blue Shield range from $159 to $356, while the facility's cash price is significantly lower at $75. This cash rate is notably lower than the state average for this procedure, which sits at $75.00, and the county average, which is $258.00. Because the cash price is already at the state median, patients with high-deductible plans may find paying out-of-pocket is the most cost-effective option, especially if their insurance allows a negotiated rate that exceeds the cash price. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts can result in higher out-of-pocket costs than self-pay.
Patients should be aware that while the facility is a Critical Access Hospital owned by the local government, the billed amount can vary depending on the payer. The Medicare benchmark for this service is $60.27, which serves as a baseline for evaluating the facility's pricing; the cash rate of $75.00 is approximately 124% of the Medicare amount, aligning with fair pricing standards. If you receive a bill that includes unexpected charges beyond the negotiated or cash rate, you may be facing balance billing, which is often restricted for emergency care under federal law. To ensure you are not overcharged, always request a full itemized bill before paying, as summary invoices can hide unbundled codes or services not rendered. Additionally, ask the billing department about prompt-pay discounts, which can further reduce the final amount owed if you settle