CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Jfk Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $280
Cash Discount Price: $1,272
vs. Medicare Baseline: 4.65x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Jfk Hospital is $280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,272. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.65x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$1,272

Average discount available for prompt cash payment at this facility.

Insurance Median

$280

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: $1,272 (2111%)

Insurance Median: $280 (465%)

Cash: $1,272 (2111% of Medicare)

Ins. Median: $280 (465% 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 465% of the Medicare baseline (a markup of 365%). 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
Corvel Corporation	$15 - $260	25%
Careworks (Rockport)	$16 - $266	27%
Prime Health	$16 - $266	27%
Freedom Health	$109 - $204	181%
Optimum	$109	181%
Avmed	$165 - $636	274%
Simply Healthcare Plans	$165	274%
Simply Healthcare	$172	285%
Oscar	$204	338%
Amerihealth Caritas	$216	358%
Molina	$216 - $343	358%
Cigna	$267	443%
Humana	$267 - $432	443%
Health Sun Health Plan	$271	450%
Aids Healthcare	$280 - $1,526	465%
Mmm Of Fl (Health Advantage Plan)	$293	486%
United Ppo	$301	499%
Sunshine State Health Plan	$331	549%
Aetna	$382	634%
Blis	$445	738%
Healthy Palm Beaches	$550	913%
United	$572	949%
District Cares	$636	1055%
Plotkin Health	$636	1055%
Prime Health Sherriff	$636	1055%
Medica Healthcare	$750	1244%
Multiplan	$954 - $1,081	1583%
Evernorth Bh	$1,018	1689%

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 $1,272.
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 Jfk 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.