Electrocardiogram (ECG/EKG)
Facility: Stanton County Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $230
- Cash Discount Price: $92
- vs. Medicare Baseline: 14.97x 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 1497% of the Medicare baseline (a markup of 1397%). 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 |
|---|---|---|
| Healthy Blue Mcaid | $207 | 1348% |
| Blue Cross Blue Shield | $230 | 1497% |
| Healthy Blue Mcr Adv - All Other Plans | $238 | 1549% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Stanton County Hospital in Johnson, KS, the cash price is $92.00, which matches the facility's median cash rate. This cash price is significantly lower than the state average, as indicated by a 15.0% variance compared to Medicare benchmarks. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find paying the $92.00 cash price more cost-effective than using insurance, particularly if the negotiated rates exceed the cash amount. It is important to note that the median negotiated rate across payers is $230.00, meaning commercial insurance contracts result in a substantially higher baseline price than self-pay options.
Although the facility lists three payers with a low to high range of $207 to $238, these figures represent the maximum contractual ceilings rather than the actual amount a patient will owe. Under the No Surprises Act, balance billing for out-of-network services at in-network facilities is prohibited, protecting patients from unexpected charges beyond their insurance allowed amount. To minimize costs, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as hospitals often offer fee reductions for upfront payment that bypass the administrative overhead of insurance claims processing. Always verify your specific plan's deductible status and request a detailed, itemized bill to ensure no errors or unbundled charges are included in the final invoice.