CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Morton Plant North Bay Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $225
Cash Discount Price: $288
vs. Medicare Baseline: 3.73x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Morton Plant North Bay Hospital is $225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $288. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.73x the Medicare baseline. Located in 6600 Madison Street, New Port Richey, FL.

Cash / Self-Pay

$288

Average discount available for prompt cash payment at this facility.

Insurance Median

$225

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: $288 (478%)

Insurance Median: $225 (373%)

Cash: $288 (478% of Medicare)

Ins. Median: $225 (373% 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 373% of the Medicare baseline (a markup of 273%). 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
Clear Health Alliance	$17	28%
UnitedHealthcare	$17 - $432	28%
Aetna	$18 - $391	30%
Freedom Health	$18	30%
Humana	$18 - $75	30%
Molina Healthcare	$18	30%
Simply Healthcare	$18 - $86	30%
Sunshine Health	$18	30%
Florida Community Care	$19	32%
Baycareplus	$60	100%
Blue Cross Blue Shield	$60 - $254	100%
Solis Health	$66	110%
Cigna	$69 - $418	114%
Wellcare	$83	138%
Molina	$86 - $284	143%
Freedom	$96	159%
Optimum	$96	159%
Careplus	$110	183%
Ambetter / Centene	$134 - $480	222%
Ultimate Health Plan	$144	239%
Avmed	$149 - $235	247%
Evolutions	$240 - $446	398%
First Health	$408	677%
Multiplan	$432	717%
United Behavioral Health	$480	796%

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 $288.
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 Morton Plant North Bay 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.