Electrocardiogram (ECG/EKG)
Facility: Minneola District Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $238
- Cash Discount Price: $176
- vs. Medicare Baseline: 15.49x 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 1549% of the Medicare baseline (a markup of 1449%). 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 | $168 - $391 | 1094% |
| Va Community Care Program-All Plans | $168 - $391 | 1094% |
| Humana | $168 - $391 | 1094% |
| Providrs Care Network-All Plans | $213 | 1387% |
| Corporate Plan Management-All Plans | $213 | 1387% |
| Preferred Health Care (Coventry)-All Other Plans | $226 | 1471% |
| Triwest-All Plans | $226 | 1471% |
| Health Partners Of Kansas-All Plans | $238 | 1549% |
| Phc (Coventry) Leased Network | $238 | 1549% |
| Aetna | $238 - $251 | 1549% |
| Medicaid / KanCare | $251 | 1634% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Minneola District Hospital, the cash median price is $176.00, which is notably lower than the facility's median negotiated rate of $238.00. This pricing structure suggests that patients with high-deductible plans or those without insurance may find the cash price more advantageous than using in-network insurance, as the negotiated rates often exceed the cash amount due to administrative overhead and contract dynamics. The facility, a Critical Access Hospital in Kansas, reports a cash median of $176.00, which is lower than the state average for this service, offering a potential cost-saving opportunity for self-pay patients who verify "self-pay" or "prompt-pay" discounts before scheduling.
When comparing commercial rates to federal benchmarks, the facility's Medicare amount of $15.36 serves as the objective baseline for evaluating pricing markups. While the facility's negotiated rates average $238.00, which is significantly higher than the Medicare rate, it is important to note that commercial contracts often include administrative costs that inflate the baseline price. Patients should be aware that balance billing is generally prohibited for emergency care under the No Surprises Act, but unexpected charges can still occur if ancillary services are out-of-network. To avoid errors or double-billing, consumers are encouraged to request a full itemized bill before paying, ensuring that all charges are accurate and aligned with the facility's transparent pricing data.