Electrocardiogram (EKG, tracing only)
Facility: Community Memorial Healthcare, Inc.
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $22
- Cash Discount Price: $43
- vs. Medicare Baseline: 0.37x 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 |
|---|---|---|
| Aetna | $1 - $94 | 2% |
| UnitedHealthcare | $14 - $67 | 23% |
| Blue Cross Blue Shield | $15 - $164 | 25% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (EKG) service at Community Memorial Healthcare, Inc. in Marysville, KS, the cash price is $43.00, which matches the facility's median negotiated rate of $29.00 and the cash median of $43.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. In this specific case, the cash price aligns with the cash median, suggesting that paying out-of-pocket may be the most cost-effective option for individuals with high-deductible plans or those without insurance, as it avoids the higher allowed amounts typically seen in commercial billing scenarios.
The Medicare benchmark for this procedure is $60.27, which serves as a scientifically validated baseline for fair pricing, as commercial rates often range between 200% and 300% of this amount. Although the data provided does not include specific county or state average comparisons for this code, the facility's cash rate of $43.00 is notably lower than the Medicare amount, indicating a potential discount relative to the federal standard. To ensure you receive the best possible rate, it is recommended to explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as hospitals frequently offer significant reductions for upfront payments that bypass the standard insurance billing cycle.