Electrocardiogram (ECG/EKG)
Facility: Wamego Health Center
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 Wamego Health Center in Wamego, KS, the facility's negotiated rates range from $17 to $29 depending on the insurance plan, with a median negotiated amount of $28.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the data indicates that cash and median paid values are not currently available for this specific code. It is important to note that commercial insurance rates often include administrative overhead and contract premiums, which can make them higher than the direct cash price; however, without a listed cash rate, patients cannot yet determine if paying out-of-pocket would be more cost-effective for their specific situation.
The pricing for this service is significantly elevated relative to federal benchmarks, with a ratio of 1.8 times the Medicare amount of $15.36. This markup is common in commercial billing but highlights the importance of understanding that Medicare rates represent a scientifically validated baseline for the true cost of care. Patients should be aware of the "No Surprises Act," which protects against balance billing for out-of-network providers at in-network facilities, and should always request an itemized bill to verify that no unbundled codes or services not rendered have been charged. If you have received a bill, you have the right to dispute errors in writing and should never sign away your rights to surprise billing protections without fully understanding the terms.