CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Halifax Health Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $120
  • Cash Discount Price: $488
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Halifax Health Medical Center is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $488. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.99x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$488

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $488 (810%)
Insurance Median: $120 (199%)
Cash: $488 (810% of Medicare)
Ins. Median: $120 (199% 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
Coventry $17 - $386 28%
Hcra $17 28%
Humana $17 - $119 28%
Medicaid / KanCare $17 28%
Molina $17 - $61 28%
UnitedHealthcare $17 - $366 28%
West Volusia $17 28%
Aetna $18 - $366 30%
Caresource Network $18 30%
Independent Living Systems $18 - $63 30%
Simply Healthcare Plans $18 30%
Sunshine State Health Plan $18 - $119 30%
Embs $51 - $518 85%
Tricare $56 93%
Americas Choice Provider Network $60 - $549 100%
Blue Cross Blue Shield $60 - $268 100%
Cigna $60 100%
Division Of The Blind $60 100%
Freedom Health $60 100%
Medicare (plans) $60 100%
Optimum Healthcare $60 100%
Wellcare $60 100%
Devoted Health $62 103%
Longevity $63 105%
Prime Health Services $63 - $366 105%
Clear Spring Health Of Fl $65 108%
Employers Health Network $119 197%
Fhcp $120 199%
Centivo $128 212%
Florida Healthcare $129 214%
Claimdoc $134 222%
Florida Healthcare - Hecn $209 347%
Avmed $281 - $305 466%
County Of Volusia Corrections $305 506%
A&G Admin $311 516%
Volusia County Employee $311 516%
Oscar $366 607%
Volusia $366 - $427 607%
Sim Plan Pay $396 657%
Hrgi $427 708%
Plotkin Consulting $427 708%
Evolutions International $458 760%
Summit America $488 810%
Integrated Health Plan $549 911%
Multiplan $549 911%
Three Rivers $580 962%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals