Electrocardiogram (EKG, tracing only)
Facility: Lindsborg Community Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $86
- Cash Discount Price: $106
- vs. Medicare Baseline: 1.43x 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 |
|---|---|---|
| Coventry Mcr Adv | $30 - $113 | 50% |
| Tricare | $30 - $112 | 50% |
| Blue Cross Blue Shield | $38 - $163 | 63% |
| Cigna | $54 - $203 | 90% |
| Coventry Comm-All Other Plans | $57 - $215 | 95% |
| UnitedHealthcare | $57 - $215 | 95% |
| Multiplan-All Plans | $59 - $222 | 98% |
| Phcs Preferred-All Plans | $59 - $222 | 98% |
| Health Partners -All Plans | $60 - $227 | 100% |
| Coventry Wc | $60 - $227 | 100% |
| Century Health-All Plans | $60 - $227 | 100% |
| Wppa-All Plans | $60 - $227 | 100% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (EKG) service at Lindsborg Community Hospital, the cash price is $106.00, which is lower than the facility's negotiated rates with most major payers. While the facility's cash rate is below the gross charge of $151.00, it is notably higher than the state average for this procedure. Patients with high-deductible plans may find paying the cash price directly more cost-effective than using insurance, as the negotiated rates for insurers like Cigna and UnitedHealthcare range from $57 to $215. To potentially lower costs further, patients should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront.
When using insurance, patients should be aware that the No Surprises Act protects them from balance billing for emergency care and non-emergency services at in-network facilities, even if specific ancillary services are out-of-network. If a patient receives a bill exceeding the allowed amount, they should request a formal itemized audit to identify errors such as unbundled codes or services not rendered, as over 80% of hospital bills contain inaccuracies. For benchmarking purposes, the Medicare amount of $60.27 serves as the objective baseline for this service; commercial negotiated rates often exceed this by 200% to 300%, whereas fair pricing is typically defined as 120% to 150% of the Medicare rate. Patients are encouraged to verify their deductible status before scheduling to avoid unexpected out-of-pocket expenses.