Electrocardiogram (EKG, tracing only)
Facility: Republic County Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $145
- Cash Discount Price: $119
- vs. Medicare Baseline: 2.41x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 241% of the Medicare baseline (a markup of 141%). 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 | $134 | 222% |
| Meritain-All Plans | $142 | 236% |
| Aetna | $142 | 236% |
| UnitedHealthcare | $145 | 241% |
| Midlands Choice-All Plans | $150 | 249% |
| First Health-All Plans | $150 | 249% |
| Cigna | $150 | 249% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (EKG) service at Republic County Hospital in Belleville, KS, the facility's cash price of $119.00 is lower than the state average of $134.00 and the county average of $145.00. While the hospital's negotiated rates with major payers like Aetna, UnitedHealthcare, and Cigna range from $142 to $150, these amounts often exceed the cash price. If you have a high-deductible plan or have not yet met your deductible, paying the cash price of $119.00 upfront may result in significant savings compared to your insurance's negotiated rate, which includes administrative overhead and contract markups.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the cost. It is important to understand that while the No Surprises Act protects you from balance billing for out-of-network providers at in-network facilities, you must still verify your specific plan's allowed amount to avoid unexpected charges. If you receive a bill that appears higher than the cash price or your expected allowed amount, request a formal itemized billing audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected through written dispute.