CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Northwest Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $393
Cash Discount Price: $1,683
vs. Medicare Baseline: 6.52x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Northwest Hospital is $393. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,683. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 6.52x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$1,683

Average discount available for prompt cash payment at this facility.

Insurance Median

$393

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: $1,683 (2792%)

Insurance Median: $393 (652%)

Cash: $1,683 (2792% of Medicare)

Ins. Median: $393 (652% 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 652% of the Medicare baseline (a markup of 552%). 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 - $272	25%
Careworks (Rockport)	$16 - $278	27%
Prime Health	$16 - $278	27%
Freedom Health	$145 - $269	241%
Optimum	$145	241%
Avmed	$219 - $842	363%
Simply Healthcare Plans	$219	363%
Simply Healthcare	$227	377%
Oscar	$269	446%
Amerihealth Caritas	$286	475%
Molina	$320 - $454	531%
Cigna	$353	586%
Humana	$353 - $572	586%
Health Sun Health Plan	$358	594%
Mmm Of Fl (Health Advantage Plan)	$387	642%
United Ppo	$399	662%
Sunshine State Health Plan	$444	737%
Aetna	$505	838%
Blis	$589	977%
United	$757	1256%
Plotkin Health	$842	1397%
Prime Health Sherriff	$842	1397%
Medica Healthcare	$976	1619%
Multiplan	$1,262 - $1,431	2094%

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 $1,683.
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 Northwest 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.