CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Novant Health Medical Park Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $60
  • Cash Discount Price: $140
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Novant Health Medical Park Hospital is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.00x the Medicare baseline. Located in 1950 S Hawthorne Rd, Winston-Salem, NC.
Cash / Self-Pay
$140

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $140 (232%)
Insurance Median: $60 (100%)
Cash: $140 (232% of Medicare)
Ins. Median: $60 (100% 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
Blue Cross Blue Shield $10 - $160 17%
Carolina Complete $55 91%
Nc Department Of Public Safety $55 - $114 91%
Amerihealth $56 93%
UnitedHealthcare $56 - $157 93%
Wellcare $56 93%
Humana $57 - $182 95%
Pace Of The Southern Piedmont $57 95%
Aetna $59 - $186 98%
Cigna $59 - $138 98%
Liberty Health $60 100%
Caresource North Carolina $93 154%
Atlantic Corporation Dba Atlantic Packaging $132 219%
Plotkin Health $140 232%
Amps $151 251%
Medcost $198 - $219 329%
Primary Physician Care $205 340%
Beechstreet $210 348%
Multiplan $210 348%
Phcs $210 348%
Employers Choice Network $226 375%
Three Rivers Provider Network $226 375%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1950 S Hawthorne Rd, Winston-Salem, NC 27103
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals