CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $478
Cash Discount Price: $2,333
vs. Medicare Baseline: 7.93x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Sarasota Doctors Hospital is $478. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,333. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 7.93x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.

Cash / Self-Pay

$2,333

Average discount available for prompt cash payment at this facility.

Insurance Median

$478

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: $2,333 (3871%)

Insurance Median: $478 (793%)

Cash: $2,333 (3871% of Medicare)

Ins. Median: $478 (793% 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 793% of the Medicare baseline (a markup of 693%). 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 - $251	25%
Rockport Healthcare Group	$15 - $251	25%
Prime Health	$16 - $257	27%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$110	183%
Access 2 Healthcare Physicians Freedom Health	$168	279%
Access 2 Healthcare Physicians Optimum	$168	279%
Freedom Health Care	$182	302%
Optimum Healthcare	$182	302%
Avmed	$187 - $583	310%
Simply Healthcare	$343 - $359	569%
Oscar	$350	581%
United	$383 - $1,050	635%
Cigna	$406	674%
Molina	$443 - $630	735%
Evolutions Healthcare Systems	$537 - $2,146	891%
Sunshine State Health Plan	$595	987%
Humana	$653	1083%
Aetna	$700	1161%
Behealthy America	$910	1510%
Beacon Health Options	$1,167	1936%
Healthcare Sarasota	$1,167	1936%
Plotkin Health	$1,167	1936%
Prime Health Sheriff	$1,167	1936%
Multiplan	$1,750 - $1,983	2904%
Evernorth	$1,866	3096%

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 $2,333.
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 Sarasota Doctors 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.