Electrocardiogram (EKG, tracing only)
Facility: Wilson Medical Center
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $119
- Cash Discount Price: $146
- vs. Medicare Baseline: 1.97x 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 $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.
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 - $172 | 56% |
| Aetna | $34 - $325 | 56% |
| Ambetter / Centene | $34 - $325 | 56% |
| Tricare | $34 - $172 | 56% |
| UnitedHealthcare | $34 - $302 | 56% |
| Cigna | $52 - $260 | 86% |
| Health Partners-All Plans | $60 - $299 | 100% |
| Mulitplan-All Plans | $60 - $299 | 100% |
| Blue Cross Blue Shield | $65 - $325 | 108% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (EKG, tracing only) service at Wilson Medical Center in Neodesha, KS, the facility's cash median rate of $146.00 is lower than the state average of $170.00, making it a potentially cost-effective option for patients paying out-of-pocket. While the facility's negotiated rates with major payers like Humana, Aetna, and UnitedHealthcare range from $34 to $325, these amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, provided they verify that their insurance negotiated rate for this specific code is indeed higher than $146.00.
To ensure you are not overcharged, it is essential to request a full itemized bill before finalizing payment, as summary invoices can obscure individual line items or unbundled charges. If you receive a balance bill for the difference between the provider's chargemaster and your insurance allowed amount, you may be protected under the No Surprises Act, which bans such billing for emergency care and non-emergency services at in-network facilities. Additionally, you should inquire about prompt-pay discounts, which can reduce the total cost by 20% to 50% if settled upfront, and always confirm that your facility is classified as self-pay to avoid automatic claims submission that might void any cash savings.