CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Lake City Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $407
Cash Discount Price: $1,453
vs. Medicare Baseline: 6.75x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Lake City Hospital is $407. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,453. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 6.75x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.

Cash / Self-Pay

$1,453

Average discount available for prompt cash payment at this facility.

Insurance Median

$407

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: $1,453 (2411%)

Insurance Median: $407 (675%)

Cash: $1,453 (2411% of Medicare)

Ins. Median: $407 (675% 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 675% of the Medicare baseline (a markup of 575%). 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 - $233	25%
Careworks (Rockport Community)	$16 - $245	27%
Prime Health	$16 - $238	27%
Avmed	$174 - $726	289%
Oscar	$174	289%
Simply Healthcare	$184	305%
Simply	$224	372%
Cigna	$253 - $604	420%
Humana	$291	483%
Evolutions	$334 - $1,235	554%
United	$343 - $654	569%
Sunshine State Health Plan	$370 - $10,204	614%
Aetna	$436	723%
Molina Healthcare	$465	772%
Plotkin Health	$726	1205%
Prime Health Sheriff	$726	1205%
Hamilton County Jail	$784	1301%
Multiplan	$1,133 - $1,235	1880%
Ppo Next	$1,235	2049%
Novanet	$1,307	2169%

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 $1,453.
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 Lake City 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.