CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Fawcett Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $48
Cash Discount Price: $688
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Fawcett Hospital is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $688. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 0.80x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$688

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $688 (1142%)

Insurance Median: $48 (80%)

Cash: $688 (1142% of Medicare)

Ins. Median: $48 (80% 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 - $63	3%
Access 2 Healthcare Physicians Freedom Health	$3 - $97	5%
Access 2 Healthcare Physicians Optimum	$3 - $97	5%
Avmed	$3 - $335	5%
Freedom Health Care	$3 - $105	5%
Optimum Healthcare	$3 - $105	5%
Oscar	$5 - $201	8%
Simply Healthcare	$5 - $206	8%
Cigna	$6 - $233	10%
United	$6 - $603	10%
Molina	$7 - $362	12%
Evolutions Healthcare Systems	$8 - $1,233	13%
Sunshine State Health Plan	$9 - $342	15%
Aetna	$10 - $402	17%
Humana	$10 - $375	17%
Behealthy America	$14 - $523	23%
Corvel Corporation	$15 - $244	25%
Rockport Healthcare Group	$15 - $244	25%
Prime Health	$16 - $249	27%
Healthcare Sarasota	$18 - $670	30%
Plotkin Health	$18 - $670	30%
Prime Health Sheriff	$18 - $670	30%
Multiplan	$26 - $1,140	43%

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 $688.
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 Fawcett 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.