Electrocardiogram (ECG/EKG)
Facility: Amberwell Atchison Association
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $61
- Cash Discount Price: $81
- vs. Medicare Baseline: 3.97x 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 397% of the Medicare baseline (a markup of 297%). 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 |
|---|---|---|
| Triwest - All Plans | $27 | 176% |
| Humana | $36 - $224 | 234% |
| Ambetter / Centene | $41 | 267% |
| Cigna | $45 | 293% |
| Aetna | $45 | 293% |
| Centrus Health Direct - All Plans | $61 | 397% |
| Oscar - All Plans | $61 | 397% |
| Multiplan - All Plans | $63 | 410% |
| Blue Cross Blue Shield | $69 - $73 | 449% |
| Wppa Providrs Care - All Plans | $73 | 475% |
| Superior Select Mcr Adv - All Plans | $224 | 1458% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Amberwell Atchison Association in Atchison, KS, the cash price is $81.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a 4.0% variance versus Medicare. While commercial insurance plans like Humana and Blue Cross Blue Shield have negotiated rates ranging from $36 to $73, these amounts often exceed the cash price. Patients with high-deductible plans may find paying the $81.00 cash rate more cost-effective than relying on insurance, which could result in out-of-pocket costs exceeding the cash amount if their deductible has not been met.
To minimize costs, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill. It is also important to request an itemized billing audit rather than accepting a summary bill, as hospitals may include unbundled charges or services not rendered that inflate the total. Since the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, comparing the negotiated rates against the Medicare benchmark of $15.36 reveals the markup inherent in commercial contracts. Always confirm your specific plan's allowed amount and deductible status before proceeding to ensure you are aware of the true financial obligation.