Electrocardiogram (EKG, tracing only)
Facility: Cloud County Health Center
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $60
- Cash Discount Price: $44
- vs. Medicare Baseline: 1.00x 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 |
|---|---|---|
| Mpi-All Plans | $9 - $227 | 15% |
| Pponext-All Plans | $40 - $227 | 66% |
| Aetna | $57 - $222 | 95% |
| Health Partners - All Plans | $60 - $227 | 100% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (EKG) service at Cloud County Health Center in Concordia, KS, the facility's cash price of $44.00 is lower than the state average of $63.00, making it a cost-effective option for patients without insurance or those with high-deductible plans. While the median amount paid by commercial payers is $123.00, which exceeds the cash rate, the facility's negotiated rate of $60.00 remains below the gross charge of $63.00. Patients should be aware that paying the cash price directly can sometimes result in significant savings compared to insurance reimbursement, especially if their plan's negotiated rate is higher than the facility's self-pay price. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can further reduce the final cost.
Regarding billing protections, patients should avoid accepting summary bills that only show broad categories like "Laboratory" or "Pharmacy," as these often hide errors or unbundled charges. Instead, request a full itemized CPT-coded bill to verify that every line item corresponds to a service actually rendered, ensuring no double-billing or unnecessary fees are included. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to dispute any unexpected bills immediately in writing rather than paying them out of fear of credit damage. By comparing the facility's rates to the Medicare benchmark of $60.27, patients can see that the commercial negotiated rates reflect standard market pricing rather than inflated chargemaster lists, providing a clear