CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Ascension St Vincent's Riverside

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $61
Cash Discount Price: $123
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Ascension St Vincent's Riverside is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.01x the Medicare baseline. Located in 1 Shircliff Way, Jacksonville, FL.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$61

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: $123 (204%)

Insurance Median: $61 (101%)

Cash: $123 (204% of Medicare)

Ins. Median: $61 (101% 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
Humana	$15 - $60	25%
Bc Advantage Mcr Replacement	$60	100%
Blue Cross Blue Shield	$60	100%
Cigna	$60 - $61	100%
Community Hospice	$60	100%
Coventry Mcr Replacement Hmo	$60	100%
Haven Hospice	$60	100%
Heartland Of Hc	$60	100%
Medicare (plans)	$60 - $61	100%
Pace Place	$60	100%
Research Study Encore Borland-Groover	$60	100%
UnitedHealthcare	$60	100%
Veterans Administration	$60	100%
Wellcare	$60	100%
Aetna	$61 - $1,597	101%
Careplus Mcr Replacement	$61	101%
Bright Health	$80 - $86	133%
Smarthealth	$83	138%
Oscar Health Plan	$95	158%
Employer Direct Healthcare	$104	173%
90 Degree Benefits	$107	178%
Avmed Exchange	$107	178%
Molina Exchange	$110	183%
Occunet	$110 - $134	183%
Ambetter / Centene	$113	187%

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 $123.
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 Ascension St Vincent's Riverside 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.