CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Larkin Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $69
  • Cash Discount Price: $376
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Larkin Community Hospital is $69. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $376. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.14x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$376

Average discount available for prompt cash payment at this facility.

Insurance Median
$69

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: $376 (624%)
Insurance Median: $69 (114%)
Cash: $376 (624% of Medicare)
Ins. Median: $69 (114% 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.

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
Medicaid / KanCare $12 - $18 20%
Corvel Mcaid Workers Comp $15 25%
Sunshine Behavioral $15 25%
Aetna $17 - $537 28%
Ambetter / Centene $17 28%
Community Care Phks Mcaid-All Other Plans $17 28%
Florida Comm Care Mcaid $17 28%
Humana $17 - $537 28%
Magellan Complete Care $17 28%
Molina Exch Marketplace-All Other Plans $17 28%
UnitedHealthcare $17 - $233 28%
Blue Cross Blue Shield $57 - $387 95%
Florida Comm Care Mcare-All Other Plans $60 100%
Medicare (plans) $60 - $564 100%
Ops Maritime-All Plans $60 100%
Opus Hospice Ip Only-All Plans $60 100%
Preferred Care Partners Mcare-All Plans $60 100%
Clear Springs Hlth-All Plans $63 105%
Unicare Simply Mcare Ppo-All Plans $63 105%
Wellpath-All Plans $66 110%
Fci-All Plans $69 114%
Allianz (Azga)-All Plans $78 129%
Cigna $134 222%
United Prop Casualty-All Plans $151 251%
Healthsun-All Plans $161 267%
Star Network-All Plans $215 357%
Jmh Health Plan Hmo/Ppo-All Other Plans $295 489%
Global Excel-All Plans $322 534%
Haa Preferred Partners-All Plans $322 534%
Corvel Mcare Workers Comp-All Plans $483 801%
Avmed-All Plans $537 891%
Careplus Health-All Other Plans $537 891%
Centurion-All Plans $537 891%
Coventry Comml-All Plans $537 891%
Doctors Healthcare-All Plans $537 891%
First Med Hp Of Fl-All Plans $537 891%
Florida Health Solution/Hmo-All Plans $537 891%
Bright Health-All Other Plans $644 1069%
Oscar Health-All Plans $1,074 1782%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals