CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Carolina East Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $54
  • Cash Discount Price: $114
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Carolina East Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.90x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.
Cash / Self-Pay
$114

Average discount available for prompt cash payment at this facility.

Insurance Median
$54

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: $114 (189%)
Insurance Median: $54 (90%)
Cash: $114 (189% of Medicare)
Ins. Median: $54 (90% 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
Humana $6 - $56 10%
Inclusive Health (Nchirp)-All Plans $6 - $56 10%
Tricare $6 - $323 10%
Pamlico Co Jail-All Plans $15 - $86 25%
Craven Co. Jail Systems - All Plans $18 - $109 30%
UnitedHealthcare $20 - $230 33%
Medcost Ppo Employees And Retirees $37 - $212 61%
Medcost Ppo Ultra (Employees) $37 - $202 61%
Blue Cross Blue Shield $40 - $222 66%
Medcost Ppo City Employees $42 - $235 70%
Medcost Ppo County Employee $43 - $245 71%
Benefit Mgmt, Svcs-All Plans $48 - $275 80%
Aetna $50 - $286 83%
Medcost Benefit Svc-All Other Plans $50 - $285 83%
Acs Consult Svc Inc-All Plans $51 - $292 85%
Medcost Ppo Standard $51 - $292 85%
Cigna $52 - $294 86%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Neuse Blvd, New Bern, NC 28560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals