Electrocardiogram (ECG/EKG)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $71
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 4.62x 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 462% of the Medicare baseline (a markup of 362%). 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 |
|---|---|---|
| Aetna | $71 | 462% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the negotiated rate is $71.00, which is significantly higher than the state average of $15.36. While commercial insurance contracts often result in higher prices due to administrative costs and network tiering, patients with high-deductible plans may find that paying cash directly is more cost-effective, as the cash price can sometimes be lower than the insurance negotiated rate. It is important to note that cash-pay options are not always available, so patients should confirm self-pay or prompt-pay discounts directly with the hospital before scheduling to ensure they are not overpaying.
This service is billed under CPT code 93000, and while the data indicates a single payer with a low to high range of $71, the facility's pricing structure suggests a significant markup compared to federal benchmarks. To avoid unexpected balance billing, patients should verify that the facility is in-network and ensure no out-of-network ancillary services are included, as the No Surprises Act protects against surprise bills for emergency care and non-emergency services at in-network facilities. If a large bill is received, consumers should request a full itemized audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies that can be corrected through formal written disputes rather than verbal agreements.