CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $144
Cash Discount Price: $385
vs. Medicare Baseline: 2.39x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Memorial Mission Hospital and Asheville Surgery Ce is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.39x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$385

Average discount available for prompt cash payment at this facility.

Insurance Median

$144

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: $385 (639%)

Insurance Median: $144 (239%)

Cash: $385 (639% of Medicare)

Ins. Median: $144 (239% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 239% of the Medicare baseline (a markup of 139%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$66 - $161	110%
United	$67 - $241	111%
Wellcare	$68 - $77	113%
Amerihealth	$69 - $78	114%
Partners Health Management	$70 - $79	116%
Vaya Health	$70 - $79	116%
Apex Health	$72 - $82	119%
Oscar	$129 - $146	214%
Aetna	$131 - $295	217%
Cigna	$134 - $203	222%
Medcost	$158 - $347	262%
Caresource	$159 - $180	264%
Amerihealth Caritas	$170 - $192	282%
Magellan	$217 - $245	360%
Magellan Behavioral Health	$217 - $245	360%
Multiplan	$289 - $327	480%
Avalon Administrative Services	$307 - $347	509%
Prime Health	$318 - $368	528%

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 $385.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.