Electrocardiogram (ECG/EKG)
Facility: Clay County Medical Center
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $63
- Cash Discount Price: $68
- vs. Medicare Baseline: 4.10x 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 410% of the Medicare baseline (a markup of 310%). 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 |
|---|---|---|
| Wppa/Providrs Care- All Plans | $37 - $89 | 241% |
| Aetna | $37 - $89 | 241% |
| Multiplan- All Plans | $38 - $91 | 247% |
| Health Partners - All Plans | $38 - $91 | 247% |
| UnitedHealthcare | $38 - $91 | 247% |
Consumer Guidance & Cost Commentary
For the CPT code 93000 (Electrocardiogram), Clay County Medical Center in Clay Center, KS, lists a cash price of $68.00, which matches the facility's median negotiated rate of $63.00 and the state average. This cash price is significantly higher than the Medicare benchmark of $15.36, reflecting the typical commercial markup where negotiated rates often range from 200% to 300% of the federal baseline. While the facility is a Critical Access Hospital with government-local ownership, patients with high-deductible plans may find the cash price more affordable than their insurance negotiated rate, especially if their plan has not yet met its deductible threshold. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates can vary widely even within the same facility.
Patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront. Since hospitals save on administrative costs by bypassing the insurance claims cycle, offering immediate payment often results in a lower total than the standard cash price or the insurance negotiated rate. Additionally, because over 80% of hospital bills contain errors, consumers are encouraged to request a full itemized statement before paying, ensuring that no services were unbundled or incorrectly charged. If you receive a balance bill after an out-of-network service at this in-network facility, you may be eligible for protections under the No Surprises Act, so do not pay immediately without disputing the amount with your insurer.