CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Pender Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $86
Cash Discount Price: $113
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Pender Memorial Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.43x the Medicare baseline. Located in 507 E Fremont St, Burgaw, NC.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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: $113 (187%)

Insurance Median: $86 (143%)

Cash: $113 (187% of Medicare)

Ins. Median: $86 (143% 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.

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 - $114	17%
Humana	$50 - $265	83%
Pace Of The Southern Piedmont	$53 - $83	88%
Aetna	$54 - $262	90%
Cigna	$54 - $136	90%
New Hanover Health	$54 - $85	90%
Carolina Complete	$55 - $87	91%
Nc Department Of Public Safety	$55 - $166	91%
Amerihealth	$56 - $88	93%
Wellcare	$56 - $88	93%
Ambetter / Centene	$74 - $116	123%
Liberty Health	$75 - $118	124%
Caresource North Carolina	$78 - $123	129%
Plotkin Health	$118 - $185	196%
UnitedHealthcare	$143 - $225	237%
Medcost	$148 - $258	246%
Employers Choice Network	$190 - $299	315%
Three Rivers Provider Network	$190 - $299	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 $113.
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 Pender Memorial Hospital 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.