Electrocardiogram (ECG/EKG)
Facility: Greeley County Health Services
Billing Code: 93000 (CPT)
- CPT Billing Code: 93000
- Insurance Median: $25
- Cash Discount Price: $245
- vs. Medicare Baseline: 1.63x 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 |
|---|---|---|
| Medicaid / KanCare | $25 | 163% |
| Aetna | $25 | 163% |
Consumer Guidance & Cost Commentary
For this electrocardiogram (ECG/EKG) service at Greeley County Health Services in Tribune, Kansas, the cash price is $245.00, which is lower than the facility's gross charge of $350.00. While the facility is a Critical Access Hospital owned by the local government, the data indicates that the median negotiated rate for this service is $25.00, a figure significantly lower than the cash price. This suggests that for patients with high-deductible plans or those without insurance, paying the cash price of $245.00 may be more cost-effective than relying on insurance, as the insurer's negotiated rate could exceed the cash amount depending on the specific plan's allowed amount. It is important to note that the median negotiated rate provided here is $25.00, which is substantially lower than the cash price, indicating that insurance contracts may offer a lower net cost to the provider, though individual patient out-of-pocket costs depend on their specific plan's deductible and coinsurance.
When comparing this service to broader benchmarks, the Medicare amount for this code is $15.36, and the facility's cash rate of $245.00 is 1.6 times the Medicare amount. This markup is common in commercial billing, where rates often exceed Medicare benchmarks due to administrative costs and local wage indexes. Patients should be aware that balance billing is generally prohibited for emergency care under the No Surprises Act, but it is crucial to verify network status before scheduling non-emergency tests to avoid unexpected charges. Additionally, since the facility offers a prompt-pay discount for upfront payments, patients should explicitly ask to be classified as self-pay at registration