CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Trinity Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $57
Cash Discount Price: $821
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Trinity Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $821. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.95x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.

Cash / Self-Pay

$821

Average discount available for prompt cash payment at this facility.

Insurance Median

$57

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: $821 (1362%)

Insurance Median: $57 (95%)

Cash: $821 (1362% of Medicare)

Ins. Median: $57 (95% 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.

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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$2 - $75	3%
Access 2 Healthcare Physicians Freedom Health	$3 - $115	5%
Access 2 Healthcare Physicians Optimum	$3 - $115	5%
Avmed	$3 - $400	5%
Freedom Health Care	$3 - $125	5%
Optimum Healthcare	$3 - $125	5%
Simply Healthcare	$5 - $246	8%
Oscar	$6 - $240	10%
United	$7 - $719	12%
Cigna	$8 - $288	13%
Molina	$8 - $432	13%
Evolutions Healthcare Systems	$10 - $1,471	17%
Sunshine State Health Plan	$11 - $408	18%
Humana	$12 - $448	20%
Aetna	$13 - $480	22%
Corvel Corporation	$15 - $251	25%
Rockport Healthcare Group	$15 - $251	25%
Prime Health	$16 - $257	27%
Beacon Health Options	$21 - $799	35%
Plotkin Health	$21 - $799	35%
Prime Health Sheriff	$21 - $799	35%
Multiplan	$32 - $1,359	53%
Evernorth	$34 - $1,279	56%

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 $821.
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 Trinity 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.