CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Atrium Health Lincoln

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $193
Cash Discount Price: $291
vs. Medicare Baseline: 3.20x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Atrium Health Lincoln is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $291. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.20x the Medicare baseline. Located in 433 McAlister Rd, Lincolnton, NC.

Cash / Self-Pay

$291

Average discount available for prompt cash payment at this facility.

Insurance Median

$193

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: $291 (483%)

Insurance Median: $193 (320%)

Cash: $291 (483% of Medicare)

Ins. Median: $193 (320% 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 320% of the Medicare baseline (a markup of 220%). 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
Aetna	$6 - $494	10%
Cigna	$6 - $393	10%
Humana	$6 - $57	10%
UnitedHealthcare	$6 - $331	10%
Orthocarolina	$7 - $70	12%
Alliance	$9 - $68	15%
Amerihealth Caritas	$9 - $66	15%
Carolina Complete Health	$9 - $67	15%
Healthy Blue	$9 - $67	15%
Partners	$9 - $67	15%
Trillium	$9 - $69	15%
Vaya	$9 - $67	15%
Wellcare	$9 - $67	15%
Ambetter / Centene	$14 - $216	23%
Medcost	$20 - $380	33%
Blue Cross Blue Shield	$23 - $296	38%
Choicecare	$24 - $477	40%
Employers Health Network	$257	426%
Physician Reach Out	$291	483%
Gmmi	$378	627%
Quik Trip	$378	627%
First Health	$494	820%
Beechstreet	$523	868%
Private Health Care Systems	$523	868%
Multiplan	$552	916%

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 $291.
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 Lincoln 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.