Electrocardiogram (ECG/EKG)
Facility: Children'S Mercy South
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $33
- Cash Discount Price: $27
- vs. Medicare Baseline: 2.15x 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 215% of the Medicare baseline (a markup of 115%). 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 |
|---|---|---|
| Wppa Providrs Care | $16 | 104% |
| Health Midwest Comprehensive Care | $19 | 124% |
| American Healthcare Alliance | $20 | 130% |
| Healthlink | $20 | 130% |
| UnitedHealthcare | $21 - $31 | 137% |
| Home State Health | $23 | 150% |
| Healthy Blue | $23 - $27 | 150% |
| Wellfit/Centrus | $26 | 169% |
| Centivo | $27 | 176% |
| Medicaid / KanCare | $27 | 176% |
| Quiktrip | $28 | 182% |
| Nebraska Furniture Mart | $31 | 202% |
| Orscheln | $31 | 202% |
| Humana | $31 | 202% |
| Medica | $33 | 215% |
| Aetna | $36 - $48 | 234% |
| Blue Cross Blue Shield | $37 - $47 | 241% |
| Mercy Health | $42 | 273% |
| Coxhealth Network | $42 | 273% |
| Cigna | $44 | 286% |
| Multiplan | $45 | 293% |
| Coventry Health Care Of Kansas | $46 | 299% |
| National Preferred Provider Network | $50 | 326% |
Consumer Guidance & Cost Commentary
For the electrocardiogram (ECG/EKG) service at Children's Mercy South in Overland Park, KS, the facility's cash median rate of $27.00 is significantly lower than the state average, which sits at $57.00. While commercial insurance plans negotiate rates ranging from $16 to $50, many of these negotiated amounts exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket if they qualify for self-pay discounts. It is important to note that the facility's cash rate is also well below the Medicare benchmark of $15.36, indicating that the commercial negotiated rates are not necessarily reflective of the true cost of care but rather the result of complex contract dynamics where administrative overhead and claim processing inflate the final allowed amount.
Patients should be aware that assuming an in-network rate is the lowest possible price is a common pitfall, as some commercial payers in this region have negotiated rates that are substantially higher than the cash option. To maximize savings, individuals should explicitly ask the billing department about "prompt-pay" discounts, which can reduce the total cost by 20% to 50% when paid in full upfront, bypassing the administrative costs associated with insurance claims. Additionally, since over 80% of hospital bills contain errors, consumers are advised to request a detailed, itemized statement before making any payment to ensure no unbundled codes or services not rendered are included in the final invoice.