CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $487
Cash Discount Price: $1,781
vs. Medicare Baseline: 8.08x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Fort Walton-Destin Hospital is $487. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,781. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 8.08x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$1,781

Average discount available for prompt cash payment at this facility.

Insurance Median

$487

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: $1,781 (2955%)

Insurance Median: $487 (808%)

Cash: $1,781 (2955% of Medicare)

Ins. Median: $487 (808% 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 808% of the Medicare baseline (a markup of 708%). 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 - $250	25%
Careworks (Rockport Community)	$16 - $264	27%
Prime Health	$16 - $256	27%
Oscar	$70 - $267	116%
Simply	$83 - $316	138%
Simply Healthcare	$90 - $343	149%
Cigna	$94 - $852	156%
Molina Healthcare	$103 - $657	171%
United	$111 - $923	184%
Avmed	$130 - $1,026	216%
Sunshine State Health Plan	$138 - $10,254	229%
Aetna	$162 - $616	269%
Humana	$206 - $780	342%
Plotkin Health	$270 - $1,026	448%
Prime Health Sheriff	$270 - $1,026	448%
Evolutions Healthcare	$352 - $1,847	584%
Naphcare	$352 - $1,334	584%
Multiplan	$422 - $1,744	700%
Evernorth	$433 - $1,641	718%
Ppo Next	$460 - $1,744	763%
Novanet	$487 - $1,847	808%
Beacon Health Options	$541 - $2,052	898%

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 $1,781.
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 Fort Walton-Destin 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.