Electrocardiogram (ECG/EKG)
Facility: Republic County Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $69
- Cash Discount Price: $56
- vs. Medicare Baseline: 4.49x 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 449% of the Medicare baseline (a markup of 349%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $64 | 417% |
| Meritain-All Plans | $68 | 443% |
| Aetna | $68 | 443% |
| UnitedHealthcare | $69 | 449% |
| Cigna | $71 | 462% |
| First Health-All Plans | $71 | 462% |
| Midlands Choice-All Plans | $71 | 462% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) service at Republic County Hospital in Belleville, KS, the facility's cash median rate of $56.00 is notably lower than the state average of $68.00. While the hospital's negotiated rates with major payers like Aetna and UnitedHealthcare range between $68.00 and $71.00, these amounts are still higher than the cash price. This pricing structure suggests that patients with high-deductible plans or those who have met their out-of-pocket limits may find it financially advantageous to pay the cash rate directly, as the insurance negotiated rates often exceed the cash price due to administrative overhead and contract dynamics.
To maximize savings, patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing costly insurance billing cycles. It is important to note that while the facility is an in-network Critical Access Hospital, the No Surprises Act protects patients from balance billing for out-of-network services at this location, ensuring that the negotiated rates serve as a ceiling rather than a variable cost. For context, the facility's Medicare benchmark of $15.36 highlights that commercial rates are significantly marked up above the federal baseline, making the comparison between the $56.00 cash rate and the $68.00 state average a key factor in determining the most cost-effective payment method.