CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Carolinas Rehabilitation

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $257
Cash Discount Price: $291
vs. Medicare Baseline: 4.26x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Carolinas Rehabilitation is $257. 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 4.26x the Medicare baseline. Located in 1100 Blythe Blvd, Charlotte, NC.

Cash / Self-Pay

$291

Average discount available for prompt cash payment at this facility.

Insurance Median

$257

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: $257 (426%)

Cash: $291 (483% of Medicare)

Ins. Median: $257 (426% 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 426% of the Medicare baseline (a markup of 326%). 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 - $61	10%
UnitedHealthcare	$6 - $382	10%
Amerihealth Caritas	$9 - $226	15%
Carolina Complete Health	$9 - $231	15%
Healthy Blue	$9 - $231	15%
Wellcare	$9 - $231	15%
Ambetter / Centene	$14 - $216	23%
Medcost	$20 - $390	33%
Blue Cross Blue Shield	$23 - $280	38%
Choicecare	$24 - $454	40%
Employers Health Network	$257	426%
Physician Reach Out	$291	483%
Quik Trip	$378	627%
Healthgram	$465	772%
Private Health Care Systems	$477	791%
First Health	$494	820%
Beechstreet	$535	888%
Multiplan	$535	888%

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 Carolinas Rehabilitation 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.