Electrocardiogram (ECG/EKG)
Facility: Community Memorial Healthcare, Inc.
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $58
- Cash Discount Price: $73
- vs. Medicare Baseline: 3.78x 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 378% of the Medicare baseline (a markup of 278%). 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 |
|---|---|---|
| Aetna | $33 - $58 | 215% |
| UnitedHealthcare | $265 | 1725% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Community Memorial Healthcare, Inc. in Marysville, KS, the cash median price is $73.00, which matches the facility's negotiated rate of $58.00 for UnitedHealthcare and the gross charge of $73.00. This cash price is significantly higher than the state average, as indicated by the 3.8x multiplier relative to the Medicare benchmark of $15.36. While commercial insurance contracts often set a ceiling on what payers like Aetna and UnitedHealthcare will pay, patients with high-deductible plans may find paying the full cash price upfront more economical than relying on insurance, which could result in higher out-of-pocket costs if the deductible has not yet been met.
To minimize unexpected costs, patients should verify their specific plan details before scheduling, as in-network status does not guarantee the lowest possible price. It is advisable to ask the billing department directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full within a short window, bypassing the administrative overhead of insurance claims. Additionally, since over 80% of hospital bills contain errors, consumers should request a detailed, itemized statement rather than accepting a summary invoice, ensuring that all charges are accurate and that no services were billed for that were not rendered.