Electrocardiogram (EKG, tracing only)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $55
- Cash Discount Price: $152
- 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 |
|---|---|---|
| Providrs Care | $7 | 12% |
| Medicaid / KanCare | $15 - $22 | 25% |
| UnitedHealthcare | $21 - $154 | 35% |
| Aetna | $22 | 37% |
| Tricare | $27 | 45% |
| Humana | $55 | 91% |
| Va | $55 | 91% |
| Medicare (plans) | $55 - $56 | 91% |
| Smarthealth | $77 | 128% |
| Ambetter / Centene | $93 | 154% |
| Blue Cross Blue Shield | $178 - $188 | 295% |
Consumer Guidance & Cost Commentary
For the Electrocardiogram (EKG, tracing only) procedure at Ascension Via Christi Hospital Manhattan, Inc, the cash payment median of $152.00 is significantly lower than the facility's gross charge of $380.00. While commercial insurance plans like UnitedHealthcare and Blue Cross Blue Shield negotiate rates ranging from $21 to $188, these amounts often exceed the cash price, making self-pay a potentially more affordable option for patients with high-deductible plans. The facility's negotiated rate of $55.00 sits below the state average for Kansas, but patients should verify their specific plan's allowed amount, as some commercial payers may still result in higher out-of-pocket costs than paying cash directly.
To minimize unexpected costs, patients should inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can bypass administrative overhead and lower the final bill. It is also important to request an itemized billing audit if you receive a summary bill, as over 80% of hospital invoices contain errors such as unbundled codes or charges for services not rendered. While the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients must ensure they are not signing away rights to dispute out-of-network ancillary services like emergency physician fees or lab tests included in the visit.