CMS Price Transparency Data
Electrocardiogram (EKG, tracing only)
Facility: Palmetto General Hospital
Billing Code: 93005 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 93005
- Insurance Median: $72
- Cash Discount Price: $739
- vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Palmetto General Hospital is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $739. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.19x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$739
Average discount available for prompt cash payment at this facility.
Insurance Median
$72
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: $739 (1226%)
Insurance Median: $72 (119%)
Cash: $739 (1226% of Medicare)
Ins. Median: $72 (119% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Healthsun Health Plans | $7 - $60 | 12% |
| Employer Direct Healthcare | $8 - $58 | 13% |
| Self Pay/Uninsured | $8 - $72 | 13% |
| Avmed Broad Network | $11 | 18% |
| Humana | $17 - $300 | 28% |
| Medicaid / KanCare | $17 - $739 | 28% |
| UnitedHealthcare | $17 - $719 | 28% |
| Aetna | $22 - $527 | 37% |
| Veterans Administration Mill Bill | $40 | 66% |
| Oscar Health Plan Hix | $45 | 75% |
| Medicare (plans) | $52 - $739 | 86% |
| Leon Health Inc | $57 | 95% |
| Bristol Hospice- Miami Dade Llc | $58 | 96% |
| Catholic Hospice | $58 | 96% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $58 | 96% |
| Devoted Health | $58 | 96% |
| Hospice Other | $58 | 96% |
| Ima Evalutations Inc | $58 | 96% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $58 | 96% |
| Opuscare Of South Fl | $58 | 96% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $58 | 96% |
| Select Specialty Hospital | $58 | 96% |
| Tricare | $58 | 96% |
| Veterans Administration Vaccn | $58 | 96% |
| Vitas Healthcare Hospice | $58 | 96% |
| Westchester General Hospital | $58 | 96% |
| Cigna | $60 - $370 | 100% |
| Longevity Health Plan | $61 | 101% |
| Florida Pace Centers | $69 | 114% |
| Bright Health Management Commercial | $70 | 116% |
| Imagine Health | $74 | 123% |
| Naphcare Inc | $80 | 133% |
| Avmed Exchange | $102 | 169% |
| Ambetter / Centene | $108 | 179% |
| Molina Marketplace Program Exchange | $111 | 184% |
| Auto Insurance | $117 | 194% |
| Avmed Select Network | $120 | 199% |
| Amerihealth Caritas Next Exchange | $126 | 209% |
| Bc/Bs Myblue Hmo Hix | $135 | 224% |
| Bc/Bs Of Fl Simplyblue | $142 | 236% |
| Bc/Bs Of Fl Miami Dade Blue Select | $149 | 247% |
| Bc/Bs Of Fl Network Blue | $190 | 315% |
| Bc/Bs Of Fl Health Options Hmo | $193 | 320% |
| Bc/Bs Of Fl Ppo | $203 | 337% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $211 | 350% |
| Liga Contra El Cancer | $370 | 614% |
| Bc/Bs Of Fl Phs | $371 | 616% |
| Magellan Behavioral Health | $443 | 735% |
| Dimensions International | $480 | 796% |
| First Health | $495 | 821% |
| Dimension Health Ppo | $554 | 919% |
| Dimension Health Wc | $554 | 919% |
| Workers Compensation | $554 | 919% |
| Beacon Health Strategies Commercial | $739 | 1226% |
| Commercial Non-Contracted | $739 | 1226% |
| Self Pay - Mcd Pending 100 Percent | $739 | 1226% |
| Single Case Agreement | $739 | 1226% |
| United Behavioral Health Psych | $739 | 1226% |