CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Aventura Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $392
Cash Discount Price: $1,679
vs. Medicare Baseline: 6.50x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Aventura Hospital is $392. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,679. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 6.50x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$1,679

Average discount available for prompt cash payment at this facility.

Insurance Median

$392

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: $1,679 (2786%)

Insurance Median: $392 (650%)

Cash: $1,679 (2786% of Medicare)

Ins. Median: $392 (650% 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 650% of the Medicare baseline (a markup of 550%). 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 - $270	25%
Careworks (Rockport)	$16 - $276	27%
Prime Health	$16 - $276	27%
Freedom Health	$144 - $269	239%
Optimum	$144	239%
Avmed	$201 - $840	333%
Simply Healthcare Plans	$218	362%
Simply Healthcare	$227	377%
Oscar	$269	446%
Amerihealth Caritas	$285	473%
Molina	$285 - $453	473%
Cigna	$353	586%
Humana	$353 - $571	586%
Health Sun Health Plan	$358	594%
Aids Healthcare	$369 - $2,015	612%
Mmm Of Fl (Health Advantage Plan)	$386	640%
United Ppo	$398	660%
Sunshine State Health Plan	$437	725%
Aetna	$504	836%
United	$756	1254%
Plotkin Health	$840	1394%
Prime Health Sherriff	$840	1394%
Medica Healthcare	$974	1616%
Multiplan	$1,259 - $1,427	2089%
Evernorth Bh	$1,343	2228%

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 $1,679.
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 Aventura 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.