Electrocardiogram (ECG/EKG)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $28
- Cash Discount Price: $91
- vs. Medicare Baseline: 1.82x 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.
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 |
|---|---|---|
| Aetna | $16 | 104% |
| Blue Cross Blue Shield | $16 - $35 | 104% |
| Va_Ccn | $16 | 104% |
| Medadv_Allwell | $16 | 104% |
| Medadv_Uhc | $16 | 104% |
| Medicare (plans) | $16 | 104% |
| Humana | $16 | 104% |
| Ambetter / Centene | $17 | 111% |
| Medicaid / KanCare | $28 | 182% |
| Tricare | $38 | 247% |
| United | $101 | 658% |
| Wppa_Providrscare | $101 | 658% |
| Coventry | $116 | 755% |
| Cigna | $116 | 755% |
| Hpk | $116 | 755% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Neosho Memorial Regional Medical Center in Chanute, KS, the cash median price is $91.00, which is significantly higher than the state average of $15.36. While Medicare sets a benchmark rate of $15.36 for this service, commercial insurance plans negotiate rates that vary widely, ranging from a low of $16.00 to a high of $116.00 across 15 different payers. Although the facility is a Critical Access Hospital with government ownership, the negotiated rates for in-network plans often exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash median directly rather than relying on insurance, provided they have not yet met their deductible.
To maximize savings, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% when paid upfront, bypassing the administrative costs associated with insurance billing. It is important to avoid comparing the cash price to the facility's gross chargemaster list, as these inflated figures do not reflect the true cost of care; instead, all comparisons should be made against the Medicare benchmark of $15.36. Additionally, patients should request a detailed, itemized bill before paying to ensure no errors or unbundled charges are present, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute.