CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Frye Regional Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $120
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Frye Regional Medical Center is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.99x the Medicare baseline. Located in 420 N Center St, Hickory, NC.
Cash / Self-Pay
$277

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $277 (460%)
Insurance Median: $120 (199%)
Cash: $277 (460% of Medicare)
Ins. Median: $120 (199% 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.

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
Healthyblue Nc $55 91%
Veteran Family Member Program $55 91%
Aetna $56 - $281 93%
Humana $56 - $3,960 93%
UnitedHealthcare $56 - $381 93%
Blue Cross Blue Shield $68 - $120 113%
Vaya Health $68 113%
Amerihealth Caritas North Carolina $70 116%
Carolina Complete Health Inc. $70 116%
Partners Health Management $70 116%
Trillium Health Resources $70 116%
Wellcare Of North Carolina, Inc $70 116%
State Health Plan $116 192%
Vanguard Furniture $121 201%
Cigna $141 234%
Amerihealth Caritas Next $146 242%
Sherrill Furniture $159 264%
Ambetter / Centene $174 289%
Luminare Health $344 571%
Meritain Health $408 677%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 420 N Center St, Hickory, NC 28601
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals