Electrocardiogram (EKG, tracing only)
Facility: Stanton County Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $208
- Cash Discount Price: $221
- vs. Medicare Baseline: 3.45x 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 345% of the Medicare baseline (a markup of 245%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $156 - $220 | 259% |
| Healthy Blue Mcr Adv - All Other Plans | $206 - $226 | 342% |
| Healthy Blue Mcaid | $210 - $231 | 348% |
Consumer Guidance & Cost Commentary
For the CPT code 93005 (Electrocardiogram, tracing only) at Stanton County Hospital in Johnson, KS, the cash price is $221.00, which matches the facility's median negotiated rate of $213.00 and the cash median. This service is significantly more affordable than the state average, as the cash price is 3.5 times lower than the Medicare benchmark of $60.27. While commercial payers like Blue Cross Blue Shield and Healthy Blue plans negotiate rates ranging from $156 to $231, these amounts often exceed the cash price. For patients with high-deductible plans, paying the cash price directly may result in lower out-of-pocket costs compared to insurance claims that exceed the deductible, provided the patient has no secondary insurance.
To ensure you receive the most accurate billing, always request a full itemized bill before paying, as summary bills can obscure individual charges or unbundled services. If you choose to pay out-of-pocket, ask the hospital about prompt-pay discounts, which can reduce the total cost by 20% to 50% if settled within 30 days. Since this facility is a Critical Access Hospital with government-local ownership, verify that your specific plan is in-network to avoid potential balance billing, though the No Surprises Act protects you from surprise charges for out-of-network services at in-network facilities. Comparing the $221.00 cash rate against the county average confirms this is a competitively priced service, but always confirm your specific deductible status and any applicable self-pay discounts before scheduling.