Electrocardiogram (ECG/EKG)
Facility: Phillips County Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $96
- Cash Discount Price: $82
- vs. Medicare Baseline: 6.25x 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 625% of the Medicare baseline (a markup of 525%). 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 | $31 - $242 | 202% |
| UnitedHealthcare | $96 | 625% |
| Medicaid / KanCare | $96 | 625% |
| Health Partners-All Plans | $96 | 625% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Phillips County Hospital in Phillipsburg, KS, the facility's cash median rate of $82.00 is lower than the state average, which sits at $96.00. While the facility's negotiated rates with major payers like Blue Cross Blue Shield, UnitedHealthcare, and Medicaid/KanCare are all set at $96.00, the cash price offers a potential savings for patients with high-deductible plans or those without insurance. Because commercial insurance contracts often include administrative overhead that inflates the baseline price, paying cash upfront can sometimes result in a lower total cost than what the insurance plan allows. Patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
To ensure you are receiving the most accurate pricing, it is important to request an itemized bill rather than accepting a summary invoice that may obscure individual charges or unbundled codes. Since over 80% of hospital bills contain errors, reviewing the line-by-line statement helps identify services not rendered or unnecessary fees. Additionally, this procedure's Medicare benchmark amount is $15.36, which serves as a scientifically validated baseline for evaluating the facility's pricing markup. By comparing the facility's rates against this federal standard and understanding that commercial negotiated rates often exceed fair pricing thresholds, you can make informed decisions about whether to use insurance or pay directly.