CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Orange Park Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $534
Cash Discount Price: $1,898
vs. Medicare Baseline: 8.86x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Orange Park Hospital is $534. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,898. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 8.86x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$1,898

Average discount available for prompt cash payment at this facility.

Insurance Median

$534

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: $1,898 (3149%)

Insurance Median: $534 (886%)

Cash: $1,898 (3149% of Medicare)

Ins. Median: $534 (886% 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 886% of the Medicare baseline (a markup of 786%). 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 - $248	25%
Prime Health	$16 - $253	27%
Optimum Healthcare	$159	264%
Avmed	$228 - $532	378%
United	$228 - $854	378%
Simply Healthcare	$241 - $292	400%
Oscar	$304	504%
Positive Healthcare	$418	694%
Cigna	$454 - $537	753%
Sunshine State Health Plan	$484	803%
Molina Healthcare	$513	851%
Aetna	$569	944%
Humana	$778	1291%
Medicare (plans)	$854	1417%
Plotkin Health	$949	1575%
Multiplan	$1,481 - $1,613	2457%
Evernorth	$1,519	2520%
Evolutions Healthcare	$1,519 - $1,613	2520%
Ppo Next	$1,613	2676%
Novanet	$1,708	2834%

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 $1,898.
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 Orange Park 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.