Electrocardiogram (ECG/EKG)
Facility: Girard Medical Center
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $87
- Cash Discount Price: $149
- vs. Medicare Baseline: 5.66x 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 566% of the Medicare baseline (a markup of 466%). 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 | $87 - $237 | 566% |
| Kansas Superior Select-All Plans | $87 | 566% |
| Medicare (plans) | $87 | 566% |
| Aetna | $87 - $436 | 566% |
| Blue Cross Blue Shield | $87 | 566% |
| Ambetter / Centene | $87 | 566% |
| Humana | $87 | 566% |
| Multiplan-All Plans | $230 | 1497% |
| Uhhis-All Plans | $237 | 1543% |
Consumer Guidance & Cost Commentary
For the electrocardiogram (ECG/EKG) procedure at Girard Medical Center in Girard, KS, the facility's cash median price of $149.00 is notably higher than the state average of $87.00, though it remains below the gross chargemaster rate of $249.00. While most major payers, including UnitedHealthcare, Aetna, and Blue Cross Blue Shield, have negotiated rates capped at $87.00, the cash price may actually be more affordable for patients with high-deductible plans or those without insurance, as the negotiated rates often exceed the cash amount. Patients should verify their specific plan's deductible status before scheduling, as paying out-of-pocket might result in lower out-of-pocket costs if their insurance has not yet covered the service.
To ensure you are not overcharged, it is critical to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. Additionally, if you are an out-of-network patient or encounter a balance bill, you should immediately dispute the amount with your insurer and request a No Surprises Act audit, as federal protections often ban surprise billing for emergency and non-emergency care at in-network facilities. Finally, do not accept summary bills as your final invoice; always demand a detailed line-by-line statement to identify any discrepancies before negotiating or paying.