CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $132
Cash Discount Price: $133
vs. Medicare Baseline: 2.19x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Novant Health Presbyterian Medical Center is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.19x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $133 (221%)

Insurance Median: $132 (219%)

Cash: $133 (221% of Medicare)

Ins. Median: $132 (219% 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 219% of the Medicare baseline (a markup of 119%). 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	$10 - $269	17%
Carolina Complete	$34 - $79	56%
Nc Department Of Public Safety	$34 - $115	56%
Amerihealth	$35 - $81	58%
UnitedHealthcare	$35 - $266	58%
Wellcare	$35 - $81	58%
Humana	$57 - $328	95%
Pace Of The Southern Piedmont	$57	95%
Aetna	$59 - $365	98%
Cigna	$59 - $235	98%
Liberty Health	$60	100%
Caresource North Carolina	$65 - $150	108%
Atlantic Corporation Dba Atlantic Packaging	$90 - $210	149%
Amps	$108 - $251	179%
Plotkin Health	$118 - $274	196%
Medcost	$139 - $342	231%
Primary Physician Care	$145 - $337	241%
Multiplan	$147 - $342	244%
Phcs	$147 - $342	244%
Employers Choice Network	$190 - $442	315%
Three Rivers Provider Network	$190 - $442	315%

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 $133.
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 Novant Health Presbyterian 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.