Electrocardiogram (ECG/EKG)
Facility: Greenwood County Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $98
- Cash Discount Price: $92
- vs. Medicare Baseline: 6.38x 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 638% of the Medicare baseline (a markup of 538%). 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 |
|---|---|---|
| Triwest - All Plans | $41 | 267% |
| Choicecare Mcr Adv - All Plans | $48 | 313% |
| UnitedHealthcare | $48 - $97 | 313% |
| Tricare | $48 | 313% |
| Integrated Health Plan - All Plans | $86 | 560% |
| Beech Street - All Plans | $98 | 638% |
| First Health - All Other Plans | $98 | 638% |
| First Health Ccn Network | $98 | 638% |
| Preferred Hs (Coventry) - All Plans | $104 | 677% |
| Principal Health Care Inc - All Plans | $109 | 710% |
| Amerigroup Mcaid-All Plans | $115 | 749% |
| Medicaid / KanCare | $115 | 749% |
| Providrs Care/Wppa - All Plans | $172 | 1120% |
Consumer Guidance & Cost Commentary
For the electrocardiogram (ECG/EKG) procedure at Greenwood County Hospital in Eureka, Kansas, the cash median price is $92.00, which is lower than the facility's negotiated rates of $98.00 and the gross charge of $115.00. While the facility is a Critical Access Hospital with government local ownership, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. If you have a high-deductible plan, paying the cash price of $92.00 upfront might be more cost-effective than relying on insurance, which could result in a higher allowed amount or out-of-pocket expense if your deductible has not yet been met.
To ensure you are receiving the best possible rate, it is highly recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full within a short window, bypassing the costly insurance claims process. Since the facility is in-network for 13 payers, you should verify your specific plan's allowed amount, but remember that the cash price serves as a reliable benchmark to negotiate against any unexpected balance billing or inflated summary bills.