Electrocardiogram (EKG, tracing only)
Facility: Centura St. Catherine-Dodge City
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $485
- Cash Discount Price: $295
- vs. Medicare Baseline: 8.05x 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 805% of the Medicare baseline (a markup of 705%). 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 |
|---|---|---|
| Kansas Health | $5 | 8% |
| Kaiser | $5 | 8% |
| Blue Cross Blue Shield | $5 - $193 | 8% |
| Aetna | $5 - $590 | 8% |
| Medicare (plans) | $5 | 8% |
| Cigna | $5 | 8% |
| Humana | $5 | 8% |
| Centura Employee Plan | $75 | 124% |
| UnitedHealthcare | $485 | 805% |
| Wpaa | $516 | 856% |
| Christian Health Aid | $590 | 979% |
| Multiplan | $590 - $664 | 979% |
| Health Partners Of Kansas | $664 | 1102% |
Consumer Guidance & Cost Commentary
For the CPT code 93005, Electrocardiogram (EKG, tracing only), the facility's cash median price is $295.00, which is significantly lower than the state average of $485.00. While many commercial payers like Aetna and Multiplan have negotiated rates exceeding $500, the cash price offers a substantial alternative for patients with high-deductible plans or those without insurance. It is important to note that Kaiser's listed rate is an internal system rate and not a typical negotiated rate, whereas other payers such as Blue Cross Blue Shield and UnitedHealthcare have negotiated ranges starting at $5 and extending up to $664. Patients should verify their specific plan details, as the cash price of $295.00 may be more cost-effective than the insurance allowed amounts for many policies.
The facility's Medicare benchmark is $60.27, which serves as a baseline for evaluating commercial pricing. Commercial negotiated rates for this service generally range from $485.00 to $664.00, representing a significant markup over the Medicare rate. For instance, UnitedHealthcare and Wpaa have fixed negotiated rates of $485.00 and $516.00 respectively, while Christian Health Aid and Multiplan have rates of $590.00 and up to $664.00. To minimize costs, patients should inquire about prompt-pay discounts before scheduling, as paying upfront can often reduce the bill by 20% to 50%. Additionally, if a patient receives an itemized bill, they should request a full line-by