Electrocardiogram (ECG/EKG)
Facility: Smith County Memorial Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $89
- Cash Discount Price: $94
- vs. Medicare Baseline: 5.79x 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 579% of the Medicare baseline (a markup of 479%). 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 |
|---|---|---|
| Medicaid / KanCare | $66 - $94 | 430% |
| Multiplan-All Plans | $85 | 553% |
| Wppa-All Plans | $89 | 579% |
| UnitedHealthcare | $90 | 586% |
| Midlands Choice-All Plans | $90 | 586% |
| Health Partners Of Ks Ppo-All Plans | $90 | 586% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Smith County Memorial Hospital in Smith Center, KS, the cash price is $94.00, which matches the facility's median negotiated rate. This cash price is significantly lower than the state average for this service, which is $15.36 according to Medicare benchmarks, though it is important to note that Medicare rates often represent a baseline cost rather than a direct comparison to commercial cash prices. While the facility is a Critical Access Hospital with government local ownership, patients should be aware that commercial insurance negotiated rates for this service range from $85.00 to $94.00 across six payers, including Medicaid/KanCare and UnitedHealthcare. Because the cash price aligns with the highest negotiated rates found in this dataset, patients with high-deductible plans may find that paying out-of-pocket avoids the administrative fees and potential deductibles associated with insurance claims.
To ensure you receive the most favorable rate, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these upfront payment incentives can reduce the final bill. If you do choose to use insurance, be aware that while the facility is in-network for most major payers, the No Surprises Act protects you from balance billing for emergency care and non-emergency services from out-of-network providers at this in-network facility. However, if you receive a bill that includes unexpected charges from out-of-network ancillary services, you have the right to dispute it in writing rather than paying immediately. Always request a full itemized bill before agreeing to payment terms, as summary bills may obscure specific costs, and ensure any consent forms you sign explicitly