Electrocardiogram (EKG, tracing only)
Facility: Bob Wilson Memorial Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $117
- Cash Discount Price: $56
- vs. Medicare Baseline: 1.94x 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.
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 |
|---|---|---|
| Kansas Health | $45 | 75% |
| Aetna | $45 - $112 | 75% |
| UnitedHealthcare | $45 - $117 | 75% |
| Medicare (plans) | $45 | 75% |
| Humana | $45 | 75% |
| Centura Employee Plan | $75 | 124% |
| Multiplan | $126 - $130 | 209% |
| Health Partners Of Kansas | $131 | 217% |
| Wppa | $133 | 221% |
| Blue Cross Blue Shield | $220 | 365% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (EKG, tracing only) procedure at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median rate of $56.00 is significantly lower than the state average of $124.00. While Medicare sets a benchmark of $60.27 for this service, the hospital's negotiated rates with major payers like Aetna and UnitedHealthcare range from $45 to $130, with the highest negotiated amount reaching $220 for Blue Cross Blue Shield. Because insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures, patients with high-deductible plans may save money by paying the cash rate directly, provided they verify the hospital's "self-pay" or "prompt-pay" discounts before scheduling.
It is important to understand that commercial insurance rates are not always the lowest available option; in this case, the cash price is roughly 45% of the highest negotiated rate found. Patients should avoid accepting summary bills as final invoices and instead request a detailed, itemized CPT-coded statement to identify any errors or unbundled charges, as over 80% of hospital bills contain mistakes. Furthermore, if a patient receives care from an out-of-network provider at this in-network facility, they may be protected by the No Surprises Act, which bans balance billing for emergency and non-emergency services, meaning they should not pay surprise bills immediately without first disputing the claim with their insurer.