CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Cleveland Clinic Martin North Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $14
  • Cash Discount Price: $217
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Cleveland Clinic Martin North Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.23x the Medicare baseline. Located in 200 Se Hospital Ave, Stuart, FL.
Cash / Self-Pay
$217

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $217 (360%)
Insurance Median: $14 (23%)
Cash: $217 (360% of Medicare)
Ins. Median: $14 (23% 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
Amerihealth $5 8%
Freedom Health $5 - $63 8%
Miami Childrens Health Plan $5 - $60 8%
Molina $5 8%
Sunshine Health $5 8%
Avmed $6 - $230 10%
Blue Cross Blue Shield $6 - $615 10%
Independent Living Systems $6 - $7 10%
United $6 - $1,158 10%
Careplus $7 - $63 12%
Clear Spring Health $7 - $9 12%
Aetna $8 - $355 13%
Multiplan $9 - $10 15%
Cigna $11 - $198 18%
Humana $60 100%
Wellcare $60 100%
Devoted Health $66 110%
Clarity Health $177 - $256 294%
The Legacy Companies $177 - $256 294%
Consociate Health $205 340%
Bmi $217 360%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Se Hospital Ave, Stuart, FL 34994
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals