Electrocardiogram (ECG/EKG)
Facility: Wilson Medical Center
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $60
- Cash Discount Price: $49
- vs. Medicare Baseline: 3.91x 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 391% of the Medicare baseline (a markup of 291%). 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 |
|---|---|---|
| Humana | $34 - $194 | 221% |
| Ambetter / Centene | $34 - $204 | 221% |
| Tricare | $34 - $194 | 221% |
| UnitedHealthcare | $34 - $194 | 221% |
| Aetna | $34 - $65 | 221% |
| Cigna | $52 | 339% |
| Mulitplan-All Plans | $60 | 391% |
| Health Partners-All Plans | $60 | 391% |
| Blue Cross Blue Shield | $65 | 423% |
Consumer Guidance & Cost Commentary
For an Electrocardiogram (ECG/EKG) at Wilson Medical Center in Neodesha, KS, the cash median price is $49.00, which is lower than the facility's negotiated rate of $60.00 and the gross charge of $65.00. While the facility is a Critical Access Hospital with government local ownership, patients should note that insurance negotiated rates vary significantly by plan; for instance, Humana, Ambetter/Centene, and Tricare have negotiated ranges starting at $34 but extending up to $204, whereas Aetna and Cigna have fixed negotiated rates of $65. If you have a high-deductible plan, paying the cash price of $49.00 upfront may be more cost-effective than relying on insurance, especially since the cash rate is below the lowest negotiated rate found among the nine payers listed.
To ensure you are receiving the best possible price, always request an itemized bill before paying, as summary bills can obscure individual charges or unbundled codes that should be reviewed. Additionally, ask specifically about "prompt-pay" discounts, which can reduce the final amount by 20% to 50% if paid in full within 30 days, bypassing the administrative costs associated with insurance claims. While this specific service does not include a direct comparison to state or county averages in the provided data, understanding that commercial rates often exceed Medicare benchmarks—where the Medicare amount for this code is $15.36—is crucial for evaluating whether the facility's pricing aligns with fair market value.