CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Citrus Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $420
Cash Discount Price: $1,868
vs. Medicare Baseline: 6.97x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Citrus Hospital is $420. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,868. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 6.97x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.

Cash / Self-Pay

$1,868

Average discount available for prompt cash payment at this facility.

Insurance Median

$420

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: $1,868 (3099%)

Insurance Median: $420 (697%)

Cash: $1,868 (3099% of Medicare)

Ins. Median: $420 (697% 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 697% of the Medicare baseline (a markup of 597%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$88	146%
Access 2 Healthcare Physicians Freedom Health	$112	186%
Access 2 Healthcare Physicians Optimum	$112	186%
Freedom Health Care	$121	201%
Optimum Healthcare	$121	201%
Avmed	$149 - $467	247%
Corvel Corporation	$234	388%
Rockport Healthcare Group	$234	388%
Simply Healthcare	$237	393%
Prime Health	$239	397%
Oscar	$280	465%
United	$306 - $841	508%
Cigna	$325	539%
Molina	$355 - $504	589%
Evolutions Healthcare Systems	$430 - $1,719	713%
Sunshine State Health Plan	$476	790%
Humana	$523	868%
Aetna	$560	929%
Beacon Health Options	$934	1550%
Plotkin Health	$934	1550%
Prime Health Sheriff	$934	1550%
Multiplan	$1,401 - $1,588	2325%
Evernorth	$1,495	2481%

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 $1,868.
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 HCA Florida Citrus 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.