Electrocardiogram (ECG/EKG)
Facility: Great Plains Of Sabetha
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $246
- Cash Discount Price: $271
- vs. Medicare Baseline: 16.02x 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 1602% of the Medicare baseline (a markup of 1502%). 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 |
|---|---|---|
| Celtic Mcr Adv | $128 - $154 | 833% |
| Aetna | $129 - $299 | 840% |
| Celtic Comm Exchange-All Other Plans | $160 - $192 | 1042% |
| Great West Healthcare-All Plans | $209 - $251 | 1361% |
| UnitedHealthcare | $228 - $296 | 1484% |
| Century/Wppa/Providers-All Plans | $233 - $281 | 1517% |
| Cigna | $233 - $281 | 1517% |
| Multiplan-Phcs-All Plans | $233 - $281 | 1517% |
| Humana | $233 - $281 | 1517% |
| Federated Mutual Ins-All Plans | $236 - $284 | 1536% |
| Blue Cross Blue Shield | $246 - $296 | 1602% |
| Medicaid / KanCare | $246 - $296 | 1602% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (ECG/EKG) service at Great Plains of Sabetha, the cash price is $271.00, which matches the facility's cash median. While commercial insurance plans typically negotiate rates ranging from $128 to $296 depending on the carrier, the cash price is often the most affordable option for patients with high-deductible plans or those without insurance. Because insurance negotiated rates frequently exceed the cash price due to administrative overhead and contract structures, paying out-of-pocket can result in immediate savings. Patients should verify their specific plan's deductible status before scheduling, as paying the full cash rate upfront may bypass the higher allowed amounts that insurance carriers charge.
To ensure you are receiving the best possible rate, it is important to distinguish between the facility's gross charges and the actual negotiated or cash prices. The data shows that while the gross charge is $271.00, the median negotiated rate across payers is $246.00, and the Medicare benchmark is $15.36. Commercial rates often run significantly higher than the Medicare baseline, reflecting the added costs of claims processing and network agreements. If you are self-paying, ask the billing department about "prompt-pay" discounts, which can further reduce the cost by paying in full before or shortly after your visit. Always request an itemized bill to confirm that no unnecessary services were charged, as over 80% of hospital bills contain errors that can be corrected through a formal audit.