Electrocardiogram (ECG/EKG)
Facility: Memorial Hospital
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $15
- Cash Discount Price: $77
- vs. Medicare Baseline: 0.98x 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 |
|---|---|---|
| Tricare | $14 | 91% |
| Ambetter / Centene | $16 | 104% |
Consumer Guidance & Cost Commentary
For this Electrocardiogram (ECG/EKG) procedure at Memorial Hospital in Abilene, KS, the cash price is $77.00, which matches the facility's negotiated rate for Tricare and Ambetter/Centene plans. While the facility is a Critical Access Hospital owned by a Government Hospital District, the data does not provide specific state or county average rates for comparison. It is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures; therefore, patients with high-deductible plans may find paying the full cash price of $77.00 more cost-effective than relying on insurance, especially if their deductible has not yet been met.
Before scheduling, patients should explicitly request a "self-pay" or "prompt-pay" discount, as hospitals frequently offer additional reductions for upfront payments that bypass insurance billing cycles. Additionally, because over 80% of hospital bills contain errors, consumers should never accept a summary bill as final; instead, they must demand a detailed, itemized statement showing specific CPT codes to identify any unbundled charges or services not rendered. If a balance bill arises from an out-of-network provider, patients can dispute the amount under the No Surprises Act, which prohibits surprise billing for emergency care and non-emergency services at in-network facilities.