Electrocardiogram (ECG/EKG)
Facility: Morris County Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $147
- Cash Discount Price: $158
- vs. Medicare Baseline: 9.57x 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 957% of the Medicare baseline (a markup of 857%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $30 - $103 | 195% |
| Choice Care Mcr Adv-All Plans | $103 | 671% |
| Coventry Mcr | $103 | 671% |
| Va Ccn-All Plans | $103 | 671% |
| UnitedHealthcare | $103 - $264 | 671% |
| Cigna | $191 | 1243% |
| Aetna | $237 | 1543% |
| Multiplan-All Plans | $238 | 1549% |
| Coventry Comm-All Other Plans | $238 | 1549% |
| Providrs Care (Wppa)(Nexus)-All Plans | $396 | 2578% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Morris County Hospital in Council Grove, KS, the facility's cash median price of $158.00 is notably lower than the negotiated rates paid by most commercial insurers. While the gross charge is $264.00, insurance companies like Blue Cross Blue Shield and UnitedHealthcare have negotiated rates ranging from $30.00 to $396.00, with many plans settling at the full gross amount. This pricing structure highlights a common billing dynamic where commercial contracts often exceed cash prices due to administrative overhead and contract dynamics, meaning patients with high-deductible plans might save money by paying the cash rate directly rather than relying on insurance reimbursement.
To minimize costs, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payments can bypass the higher administrative costs associated with insurance billing. It is also important to compare these rates against the state average; while specific county averages are not provided in this dataset, the facility is a Critical Access Hospital with a government-local ownership structure, which often influences its pricing strategy. Consumers are advised to request an itemized bill and check their deductible status before using insurance, as assuming in-network status guarantees the lowest price can lead to unexpected costs if the negotiated rate exceeds the cash price.