CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: The Children's Mercy Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $473
Cash Discount Price: $348
vs. Medicare Baseline: 7.85x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at The Children's Mercy Hospital is $473. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 7.85x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$348

Average discount available for prompt cash payment at this facility.

Insurance Median

$473

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$60.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $60.27 (100%)

Cash / Self-Pay: $348 (577%)

Insurance Median: $473 (785%)

Cash: $348 (577% of Medicare)

Ins. Median: $473 (785% of 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 785% of the Medicare baseline (a markup of 685%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$22 - $488	37%
Healthy Blue	$23 - $152	38%
Medicaid / KanCare	$24	40%
Home State Health	$133	221%
Blue Cross Blue Shield	$298 - $537	494%
Cigna	$348 - $505	577%
Medica	$423	702%
Aetna	$436 - $494	723%
Centivo	$472	783%
Nebraska Furniture Mart	$472	783%
Orscheln	$472	783%
Wellfit/Centrus	$472	783%
Wppa Providrs Care	$472	783%
Health Midwest Comprehensive Care	$473	785%
Quiktrip	$473	785%
Humana	$483	801%
Coventry Health Care Of Kansas	$537	891%
Coxhealth Network	$537	891%
Mercy Health	$544	903%
Multiplan	$552	916%
American Healthcare Alliance	$617	1024%
Healthlink	$639	1060%
National Preferred Provider Network	$653	1083%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $348.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93005.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The Children's Mercy Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93005.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.