Electrocardiogram (EKG, tracing only)
Facility: Great Plains Of Sabetha
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $233
- Cash Discount Price: $246
- vs. Medicare Baseline: 3.87x 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 387% of the Medicare baseline (a markup of 287%). 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 | 212% |
| Aetna | $129 - $248 | 214% |
| Celtic Comm Exchange-All Other Plans | $160 | 265% |
| Great West Healthcare-All Plans | $209 | 347% |
| UnitedHealthcare | $228 - $246 | 378% |
| Multiplan-Phcs-All Plans | $233 | 387% |
| Humana | $233 | 387% |
| Cigna | $233 | 387% |
| Century/Wppa/Providers-All Plans | $233 | 387% |
| Federated Mutual Ins-All Plans | $236 | 392% |
| Blue Cross Blue Shield | $246 | 408% |
| Medicaid / KanCare | $246 | 408% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (EKG, tracing only) service at Great Plains Of Sabetha in Sabetha, Kansas, the cash price is $246.00, which matches the facility's negotiated rate for most major payers. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. In this specific case, the cash price is identical to the negotiated amounts for insurers like Blue Cross Blue Shield and Medicaid/KanCare, meaning there is no financial advantage to using insurance for this service unless the patient has a high deductible that has not yet been met. However, for patients with high-deductible plans, paying the cash price of $246.00 upfront could result in immediate savings compared to the higher out-of-pocket costs incurred before meeting their deductible thresholds.
The facility's pricing is significantly lower than the typical commercial markup seen in many healthcare settings, as the cash price aligns directly with the Medicare benchmark of $60.27 when adjusted for the specific facility context, though the gross charge of $246.00 reflects the actual service cost. It is important to note that while the median negotiated rate across payers is $233.00, this does not guarantee the lowest possible price for every individual plan, as rates vary by payer and network tier. Patients are encouraged to verify their specific plan details before scheduling, as assuming that being in-network automatically means the best price can lead to unexpected costs. Additionally, if a patient chooses to pay out-of-pocket, they should explicitly ask the billing department about "self-pay" or "