Electrocardiogram (EKG, tracing only)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $252
- Cash Discount Price: $335
- vs. Medicare Baseline: 4.18x 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 418% of the Medicare baseline (a markup of 318%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $201 | 333% |
| Americas Choice Provider Network | $235 | 390% |
| Provider Network Of America | $252 | 418% |
| Usa Managed Care Organization | $252 | 418% |
| Velocity | $252 | 418% |
| Quiktrip Corporation | $252 | 418% |
| Multiplan-Phcs | $268 | 445% |
| Prime Health Services | $285 | 473% |
| Medincrease | $302 | 501% |
Consumer Guidance & Cost Commentary
For the CPT code 93005, Electrocardiogram (EKG, tracing only), the Rehabilitation Hospital Of Overland Park lists a cash price of $335.00, which matches the facility's cash median. This cash rate is significantly higher than the Medicare benchmark of $60.27, reflecting the standard markup found in commercial healthcare pricing. While the facility's negotiated rates for in-network payers range from $201 to $302, these amounts are still well above the Medicare baseline. It is important to note that for patients with high-deductible plans, paying the cash price of $335.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract structures.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the bill by 20% to 50% by bypassing insurance billing cycles. Additionally, since the facility is located in Overland Park, KS (ZIP 66207), and operates as a Part A Provider Hospital, consumers should verify that their specific insurance plan has negotiated rates that align with the $201–$302 range shown for this service. If a patient receives a bill that exceeds these negotiated amounts, they should request an itemized audit to ensure no errors or unbundled charges are present, as over 80% of hospital bills contain discrepancies that can be resolved through formal written disputes.