CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Carepartners Rehabilitation Hospital, Lllp

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $166
Cash Discount Price: $325
vs. Medicare Baseline: 2.75x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Carepartners Rehabilitation Hospital, Lllp is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $325. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.75x the Medicare baseline. Located in 68 Sweeten Creek Rd, Asheville, NC.

Cash / Self-Pay

$325

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $325 (539%)

Insurance Median: $166 (275%)

Cash: $325 (539% of Medicare)

Ins. Median: $166 (275% 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 275% of the Medicare baseline (a markup of 175%). 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
Apex Health	$48 - $82	80%
Blue Cross Blue Shield	$98 - $240	163%
Oscar	$130 - $221	216%
United	$134 - $243	222%
Caresource	$145 - $245	241%
Wellcare	$146 - $247	242%
Amerihealth	$147 - $249	244%
Amerihealth Caritas	$147 - $249	244%
Aetna	$158 - $268	262%
Medcost	$172 - $292	285%
Multiplan	$198 - $335	329%

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 $325.
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 Carepartners Rehabilitation Hospital, Lllp 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.