CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $20
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Baptist Health Medical Center - Jacksonville is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.33x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$20

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%)

Insurance Median: $20 (33%)

Ins. Median: $20 (33% 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
Corvel	$9 - $16	15%
Coventry Workers Comp	$9 - $16	15%
Non-Contracted	$16	27%
Amerigroup Of Georgia	$17	28%
Caresource Of Georgia	$17	28%
Daniel Memorial	$17	28%
Humana	$17 - $19	28%
Peach State Health Plan	$17	28%
Simply Healthcare Plans	$18 - $20	30%
Simply Healthcare Plans - Cha	$18	30%
Amerihealth Caritas	$19	32%
Florida Community Care	$19 - $63	32%
Sunshine State Health Plan	$19	32%
United Community Plan	$19	32%
Vivida Health	$19	32%
Aetna	$20 - $61	33%
Molina Healthcare Of Florida	$20	33%
Community Hospice Of Northeast Florida	$59 - $60	98%
Pace	$59 - $60	98%
Tomorrow'S Rainbow	$59 - $60	98%
Va Ccn	$59 - $60	98%
UnitedHealthcare	$60	100%
Devoted	$63	105%
Upmc	$65 - $66	108%
Ambetter / Centene	$143	237%

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 $X.
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 Baptist Health Medical Center - Jacksonville 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.