Electrocardiogram (EKG, tracing only)
Facility: Kiowa County Memorial Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $218
- Cash Discount Price: $202
- vs. Medicare Baseline: 3.62x 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 362% of the Medicare baseline (a markup of 262%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $164 - $218 | 272% |
| UnitedHealthcare | $184 - $245 | 305% |
| Health Partners Of Ks-All Plans | $202 - $216 | 335% |
| Aetna | $205 - $218 | 340% |
| Celtic Comml Exchange-All Other Plans | $205 - $218 | 340% |
| Humana | $205 - $218 | 340% |
| Medica Prime Mcare Cost-All Plans | $205 - $218 | 340% |
| Medicaid / KanCare | $230 - $245 | 382% |
| Providrs Care/Wppa-All Plans | $345 - $368 | 572% |
Consumer Guidance & Cost Commentary
For the CPT code 93005, Electrocardiogram (EKG, tracing only), Kiowa County Memorial Hospital in Greensburg, KS, has a gross charge of $238.00. While the facility's cash median price is $202.00, commercial insurance negotiated rates range from $164.00 to $368.00 depending on the payer, with most plans falling between $205.00 and $245.00. It is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures; for patients with high-deductible plans, paying the cash price of $202.00 upfront may result in lower out-of-pocket costs compared to the negotiated rates their insurance would allow. Additionally, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing the standard insurance billing cycle.
When evaluating this price against benchmarks, the facility's cash rate of $202.00 is significantly higher than the Medicare amount of $60.27, reflecting a common markup in commercial healthcare pricing. However, the facility's cash price is notably lower than the highest negotiated rates observed for Medicaid/KanCare ($345.00–$368.00) and Providrs Care/Wppa ($345.00–$368.00), suggesting that some payers may be paying above the cash price due to network tiering or specific contract dynamics. To ensure you are receiving the best possible rate, it is recommended to request an