CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $59
Cash Discount Price: $131
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Atrium Health Navicent the Medical Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.98x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.

Cash / Self-Pay

$131

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$60.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $60.27 (100%)

Cash / Self-Pay: $131 (217%)

Insurance Median: $59 (98%)

Cash: $131 (217% of Medicare)

Ins. Median: $59 (98% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$6 - $180	10%
Blue Cross Blue Shield	$6 - $124	10%
Care Source	$6 - $59	10%
Clover	$6 - $59	10%
Eon Health	$6 - $59	10%
Georgia Health Advantage	$6 - $58	10%
Humana	$6 - $179	10%
Pruitt Health	$6 - $58	10%
UnitedHealthcare	$6 - $320	10%
Alliant	$7 - $115	12%
Ambetter / Centene	$7 - $133	12%
Cigna	$32 - $172	53%
Securehealth	$38 - $91	63%
Kaiser	$43 - $170	71%
Multiplan	$170 - $209	282%
Ibg	$185	307%
Novanet	$209	347%
Three Rivers Provider Network	$222	368%
Beechstreet	$243	403%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $131.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93005.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Navicent the Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93005.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.