Electrocardiogram (ECG/EKG)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $28
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.82x 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.
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 |
|---|---|---|
| Providrs Care | $17 | 111% |
| Medicaid / KanCare | $25 - $29 | 163% |
| UnitedHealthcare | $28 | 182% |
| Aetna | $29 | 189% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (ECG/EKG) procedure at Ascension Via Christi Hospital Manhattan, Inc, the facility's negotiated rates range from $17 to $29, with a median negotiated amount of $28.00. This rate is significantly higher than the state of Kansas average, which is 1.8 times the Medicare benchmark of $15.36. While commercial insurance plans like Medicaid/KanCare, UnitedHealthcare, and Aetna have negotiated rates between $17 and $29, patients should consider that cash prices are often lower. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price directly could result in lower out-of-pocket costs compared to your insurance's negotiated rate, provided you can afford the upfront payment.
To ensure you are not overcharged, it is critical to request a full itemized bill before finalizing payment, as summary bills often obscure individual line items and potential errors. Even if your facility is in-network, be aware that balance billing can still occur for out-of-network ancillary services like emergency physicians or specific lab tests, though the No Surprises Act generally protects you from such unexpected charges for emergency care. Additionally, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total amount owed by 20% to 50% if you pay in full upfront. Always verify your specific plan's deductible status and allowed amounts with the hospital before scheduling to avoid surprise costs.