Electrocardiogram (EKG, tracing only)
Facility: Clara Barton Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $156
- Cash Discount Price: $137
- vs. Medicare Baseline: 2.59x 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 259% of the Medicare baseline (a markup of 159%). 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 |
|---|---|---|
| 6 Degrees Health - All Plans | $119 - $155 | 197% |
| Wppa-All Plans | $136 - $178 | 226% |
| UnitedHealthcare | $153 - $200 | 254% |
| Aetna | $153 - $200 | 254% |
| Phcs - All Plans | $153 - $200 | 254% |
| Hlth Partners Of Ks-All Plans | $156 - $204 | 259% |
| Blue Cross Blue Shield | $163 | 270% |
Consumer Guidance & Cost Commentary
For the electrocardiogram (EKG, tracing only) procedure at Clara Barton Hospital in Hoisington, KS, the cash median price is $137.00, while the median amount paid by insurance is $154.00. This service is billed under CPT code 93005, and the facility, a critical access hospital owned by a voluntary non-profit, has a facility rating of 2. Patients with high-deductible plans may find paying the cash price of $137.00 more cost-effective than using insurance, as the negotiated rates for in-network payers range from $119 to $204, often exceeding the cash rate. To minimize costs, consumers should verify their deductible status before scheduling and explicitly request self-pay or prompt-pay discounts, which can range from 20% to 50% off the billed amount when paid upfront.
When reviewing your bill, it is crucial to request a detailed itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. The facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $60.27 for this service; commercial negotiated rates typically average 200% to 300% of this baseline, whereas fair pricing is generally defined as 120% to 150%. If you receive a balance bill for the difference between the provider's charge and your insurance allowed amount, you may be protected under the No Surprises Act for out-of-network services at in-network facilities. Always dispute any errors in writing via certified mail to