Electrocardiogram (EKG, tracing only)
Facility: Osborne County Memorial Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $229
- Cash Discount Price: $215
- vs. Medicare Baseline: 3.80x 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 380% of the Medicare baseline (a markup of 280%). 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 | $192 | 319% |
| Health Partners Of Kansas | $218 | 362% |
| Wppa | $240 | 398% |
| Blue Cross Blue Shield | $248 | 411% |
Consumer Guidance & Cost Commentary
For the CPT code 93005 (Electrocardiogram), Osborne County Memorial Hospital in Osborne, KS, lists a cash price of $215.00, which is lower than the facility's gross charge of $253.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. In this case, the median negotiated rate across payers is $229.00, which is higher than the cash price. This dynamic suggests that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price directly could result in lower total costs compared to using insurance, provided the patient understands their specific plan's allowed amount.
To ensure you are receiving the most accurate pricing, it is important to request a full itemized bill rather than accepting a summary invoice, as hospitals may obscure individual charges. Additionally, if you are self-pay, ask specifically about "prompt-pay" discounts, which can reduce the final amount by 20% to 50% if settled upfront. Regarding balance billing, the No Surprises Act generally protects patients from being billed the difference between the hospital's full charge and your insurance allowed amount for emergency services or non-emergency services at in-network facilities, though it is crucial to verify your network status and any ancillary services before treatment.