CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Putnam Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $28
Cash Discount Price: $116
vs. Medicare Baseline: 0.46x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Putnam Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.46x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $116 (192%)

Insurance Median: $28 (46%)

Cash: $116 (192% of Medicare)

Ins. Median: $28 (46% 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
Cigna	$7 - $18	12%
Avmed	$14 - $58	23%
Oscar	$14	23%
Corvel Corporation	$15 - $233	25%
Simply Healthcare	$15	25%
Careworks (Rockport Community)	$16 - $245	27%
Prime Health	$16 - $238	27%
Simply	$18	30%
Humana	$20	33%
Molina Healthcare	$22 - $37	37%
Evolutions	$27	45%
Sunshine State Health Plan	$30 - $10,204	50%
Aetna	$35	58%
United	$38 - $52	63%
Plotkin Health	$58	96%
Prime Health Sheriff	$58	96%
Multiplan	$90 - $98	149%

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 $116.
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 Putnam 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.