CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Memorial Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $357
Cash Discount Price: $1,289
vs. Medicare Baseline: 5.92x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Memorial Hospital is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,289. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 5.92x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.

Cash / Self-Pay

$1,289

Average discount available for prompt cash payment at this facility.

Insurance Median

$357

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: $1,289 (2139%)

Insurance Median: $357 (592%)

Cash: $1,289 (2139% of Medicare)

Ins. Median: $357 (592% 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 592% of the Medicare baseline (a markup of 492%). 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
City Of Jacksonville	$15 - $248	25%
Corvel Corporation	$15 - $248	25%
Prime Health	$16 - $253	27%
Optimum Healthcare	$108	179%
Avmed	$155 - $361	257%
Simply Healthcare	$164 - $199	272%
United	$165 - $580	274%
Oscar	$206	342%
Positive Healthcare	$284	471%
Cigna	$308 - $365	511%
Sunshine State Health Plan	$329	546%
Molina Healthcare	$348	577%
Centurion	$357	592%
Humana	$374	621%
Aetna	$387	642%
Corizon	$387	642%
Plotkin Health	$644	1069%
Multiplan	$1,005 - $1,096	1667%
Evernorth	$1,031	1711%
Evolutions Healthcare	$1,031 - $1,096	1711%
Ppo Next	$1,096	1818%
Novanet	$1,160	1925%

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 $1,289.
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 Memorial 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.