Electrocardiogram (EKG, tracing only)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $55
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| Aetna | $38 | 63% |
| Medicare (plans) | $55 - $56 | 91% |
| Va | $55 | 91% |
| Vc Hope | $55 | 91% |
| Humana | $55 | 91% |
| UnitedHealthcare | $56 - $154 | 93% |
| Blue Cross Blue Shield | $56 | 93% |
| Smarthealth | $77 | 128% |
| Medicaid / KanCare | $93 | 154% |
Consumer Guidance & Cost Commentary
For the CPT code 93005, Electrocardiogram (EKG, tracing only), the facility Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, has a median negotiated rate of $55.00. This rate is consistent with the state average for Kansas, where the median negotiated amount is also $55.00. While the facility is a Part A provider and accepts Medicare at a standard rate of $60.27, commercial payers show significant variation in their allowed amounts. UnitedHealthcare, for instance, has a wide range of negotiated rates between $56 and $154 across four plans, whereas other major payers like Aetna, Medicare, and VA have fixed negotiated rates of $38 to $56. Patients should note that while in-network insurance provides a ceiling on charges, the specific allowed amount depends entirely on the individual plan's contract with the hospital.
If you are paying out-of-pocket, the cash price is not listed for this service, but you should inquire directly with the hospital about self-pay or prompt-pay discounts, which can reduce the final bill by 20% to 50%. It is important to request an itemized bill before paying, as summary invoices may obscure unbundled charges or services not rendered. Since over 80% of hospital bills contain errors, verifying the line-by-line details is the most effective way to avoid overpayment. Additionally, if you have a high-deductible plan, paying the cash price upfront might be more cost-effective than the insurance negotiated rate if your deductible has not yet been met, ensuring you do not pay the full commercial rate before your plan covers its share.