CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Marion Communtiy Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $57
  • Cash Discount Price: $203
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Marion Communtiy Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $203. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.95x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$203

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: $203 (337%)
Insurance Median: $57 (95%)
Cash: $203 (337% 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.

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 - $236 25%
Careworks (Rockport Community) $16 - $249 27%
Marion County Schools $16 - $249 27%
Prime Health $16 - $241 27%
Avmed $23 - $61 38%
Simply Healthcare $24 - $28 40%
Simply $29 - $34 48%
Cigna $33 - $91 55%
United $33 - $99 55%
Molina Healthcare $36 - $70 60%
Humana $38 - $44 63%
Evolutions $43 - $50 71%
Evolutions Healthcare $43 - $50 71%
Sunshine State Health Plan $48 - $10,204 80%
Aetna $56 - $66 93%
Plotkin Health $94 - $110 156%
Prime Health Sheriff $94 - $110 156%
Multiplan $146 - $171 242%
Ppo Next $160 - $186 265%
Novanet $169 - $197 280%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals