Electrocardiogram (ECG/EKG)
Facility: Osborne County Memorial Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $661
- Cash Discount Price: $621
- vs. Medicare Baseline: 43.03x 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 4303% of the Medicare baseline (a markup of 4203%). 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 |
|---|---|---|
| UnitedHealthcare | $555 | 3613% |
| Health Partners Of Kansas | $628 | 4089% |
| Wppa | $694 | 4518% |
| Blue Cross Blue Shield | $715 | 4655% |
Consumer Guidance & Cost Commentary
For the CPT code 93000, Electrocardiogram (ECG/EKG), Osborne County Memorial Hospital in Osborne, KS, lists a cash median price of $621.00 and a median negotiated rate of $661.00. This cash price is notably lower than the facility's gross charge of $730.00, offering a potential savings for patients with high-deductible plans who may not have insurance coverage or who prefer to pay upfront to avoid administrative fees. While the facility is a Critical Access Hospital owned by the local government, the specific cash and negotiated rates provided here do not include direct comparisons to Kansas or Osborne County averages, so patients should verify local market rates before scheduling.
Patients should be aware that commercial insurance carriers often negotiate rates higher than cash prices due to administrative costs and contract structures, which is why the negotiated rate of $661.00 exceeds the cash median. To maximize savings, individuals should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full before or shortly after the service. Additionally, if you have insurance, ensure you have an itemized bill rather than a summary statement, as this allows you to verify that no unbundled codes or services not rendered are included in the total charge.