Electrocardiogram (EKG, tracing only)
Facility: Amberwell Atchison Association
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $155
- Cash Discount Price: $253
- vs. Medicare Baseline: 2.57x 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 $60.27 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 257% of the Medicare baseline (a markup of 157%). 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 |
|---|---|---|
| Superior Select Mcr Adv - All Plans | $12 - $155 | 20% |
| Va Ccn - All Plans | $12 - $155 | 20% |
| UnitedHealthcare | $12 - $845 | 20% |
| Triwest - All Plans | $12 - $155 | 20% |
| Humana | $12 - $212 | 20% |
| Ambetter / Centene | $18 - $241 | 30% |
| Aetna | $19 - $259 | 32% |
| Cigna | $19 - $259 | 32% |
| Centrus Health Direct - All Plans | $26 - $353 | 43% |
| Oscar - All Plans | $26 - $353 | 43% |
| Multiplan - All Plans | $27 - $367 | 45% |
| Wppa Providrs Care - All Plans | $32 - $424 | 53% |
| Blue Cross Blue Shield | $156 - $164 | 259% |
Consumer Guidance & Cost Commentary
For the electrocardiogram (EKG) procedure at Amberwell Atchison Association, the cash price is $253.00, which matches the facility's median negotiated rate of $155.00 and the state average of $253.00. While the facility's negotiated rate is lower than the cash price, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance allowed amount exceeds the cash rate. It is important to note that commercial negotiated rates often include administrative overhead, and while this facility's negotiated rate is below the cash price, patients should verify their specific plan's allowed amount before scheduling to ensure they are not paying more than necessary.
Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected ancillary services could still trigger additional charges if not carefully reviewed. To minimize costs, individuals should request a full itemized bill before paying, as summary bills can obscure errors or unbundled codes that inflate the total. Additionally, asking for a prompt-pay discount at the time of registration can provide a fee reduction, as hospitals often offer immediate discounts for upfront payments to bypass costly claims processing and administrative delays.