Electrocardiogram (EKG, tracing only)
Facility: Mercy St Francis Hospital
Billing Code: 93005 (CPT)
- CPT Billing Code: 93005
- Insurance Median: $264
- Cash Discount Price: $190
- vs. Medicare Baseline: 4.38x 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 438% of the Medicare baseline (a markup of 338%). 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 |
|---|---|---|
| Medicaid / KanCare | $21 - $152 | 35% |
| Medicare (plans) | $55 - $105 | 91% |
| Blue Cross Blue Shield | $56 - $284 | 93% |
| UnitedHealthcare | $78 - $278 | 129% |
| Elara Caring Aspire Hospice [20433] | $81 - $100 | 134% |
| Acentra Health Contracted [320527] | $81 | 134% |
| Aetna | $81 - $261 | 134% |
| Mercy Mgd Behavioral Health Contracted [320259] | $81 - $100 | 134% |
| Kindful Hospice Contracted [320434] | $81 - $100 | 134% |
| Mercy Hospice Okc [20252] | $81 - $100 | 134% |
| Dept of Veteran Affairs Contracted [320106] | $81 - $100 | 134% |
| Halo Hcr Inc Hospice [20432] | $81 - $100 | 134% |
| Qual Choice Contracted [320325] | $81 - $100 | 134% |
| Cross Timbers Hospice [20098] | $81 - $100 | 134% |
| Cherokee Nation Health Serv Contracted [320066] | $81 - $100 | 134% |
| Globalhealth Contracted [320145] | $81 - $100 | 134% |
| Indian Health Service Contracted [320198] | $81 - $100 | 134% |
| Humana | $81 - $264 | 134% |
| Medical Associates Health Contracted [320444] | $81 - $100 | 134% |
| Halo Hcr Inc Hospice Contracted [320432] | $81 - $100 | 134% |
| Kindful Hospice [20434] | $81 - $100 | 134% |
| Provider Partners Health Plans Contracted [320450] | $81 - $100 | 134% |
| Pace of the Ozarks Contracted [320518] | $81 - $100 | 134% |
| Cigna | $81 - $278 | 134% |
| Tricare | $100 | 166% |
| Healthscope Contracted [320182] | $101 - $134 | 168% |
| Administrative Payor Contracted [320005] | $132 | 219% |
| Centivo Contracted [320505] | $133 - $170 | 221% |
| Ambetter / Centene | $152 | 252% |
| Home State Health Plan Contracted [320187] | $152 | 252% |
| Novasys Contracted [320285] | $152 | 252% |
| Preferred Health Plan Contracted [320522] | $190 | 315% |
| Healthlink Contracted [320179] | $190 - $278 | 315% |
| Workers Comp [20426] | $234 - $249 | 388% |
| United Medical Resources Contracted [320454] | $264 - $272 | 438% |
| Auxiant Contracted [320462] | $264 - $278 | 438% |
| Point C Contracted [320238] | $264 - $278 | 438% |
| Mercy Benefit Admin Contracted [320251] | $264 - $278 | 438% |
| Medica Contracted [320239] | $277 | 460% |
| Health Systems Inc Contracted [320174] | $278 | 461% |
| Ebms Contracted [320493] | $278 | 461% |
| Benefit Management Contracted [320052] | $278 | 461% |
| First Health Contracted [320128] | $278 | 461% |
| Evolutions Health Care Contracted [320124] | $278 | 461% |
| USA Managed Care Org Contracted [320429] | $278 | 461% |
| Imagine 360 Contracted [320494] | $278 | 461% |
| Edison Health Solutions Contracted [320502] | $278 | 461% |
| Private Health Care Systems Contracted [320320] | $278 | 461% |
| Show-Me Health Administrators Contracted [320483] | $278 | 461% |
| Reflect Health Contracted [320492] | $278 | 461% |
| Yuzu Health Contracted [320521] | $278 | 461% |
| Point C [20238] | $278 | 461% |
| 90 Degree Benefits Contracted [320436] | $278 | 461% |
| Aither Health Contracted [320449] | $278 | 461% |
| Insurance System Inc Contracted [320465] | $278 | 461% |
| Multiplan Contracted [320270] | $278 | 461% |