CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Baptist Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $61
Cash Discount Price: $55
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Baptist Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.01x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.

Cash / Self-Pay

$55

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: $55 (91%)

Insurance Median: $61 (101%)

Cash: $55 (91% 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
Aetna	$7 - $485	12%
Pensacola	$10 - $100	17%
Fl Blue	$14 - $406	23%
Cha Health Plan	$17	28%
UnitedHealthcare	$17 - $176	28%
Fl Community Care Ltc	$18	30%
Humana	$18 - $61	30%
Mh Sunshine Mcaid	$18	30%
Staywell	$18	30%
Sunshine Health	$18	30%
Simply Healthcare Healthy Kids	$19	32%
Bc Fl	$20 - $294	33%
Hospice Regency	$20 - $200	33%
Cigna	$31 - $665	51%
Hospice Emerald Coast	$32 - $332	53%
Escambia	$39 - $399	65%
Private Healthcare	$42 - $432	70%
Uwf Athletes	$42 - $432	70%
First Health	$45 - $462	75%
Wc Corvel	$46 - $632	76%
Choicecare	$49 - $499	81%
Mh Choicecare	$49 - $499	81%
Multiplan	$58 - $592	96%
Hospice Covenant	$60	100%
Medicare (plans)	$60	100%
Healthspring Of Fl Al	$61	101%
Mh Wellcare	$63	105%
Wellcare	$63	105%

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 $55.
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 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.