CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $605
Cash Discount Price: $1,622
vs. Medicare Baseline: 10.04x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Gulf Coast Hospital is $605. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,622. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 10.04x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.

Cash / Self-Pay

$1,622

Average discount available for prompt cash payment at this facility.

Insurance Median

$605

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: $1,622 (2691%)

Insurance Median: $605 (1004%)

Cash: $1,622 (2691% of Medicare)

Ins. Median: $605 (1004% 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 1004% of the Medicare baseline (a markup of 904%). 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 - $231	25%
Careworks (Rockport Community)	$16 - $243	27%
Prime Health	$16 - $236	27%
Oscar	$203 - $217	337%
Simply	$241 - $257	400%
Simply Healthcare	$261 - $278	433%
Cigna	$272 - $691	451%
Molina Healthcare	$297 - $533	493%
Avmed	$375 - $833	622%
United	$380 - $750	630%
Sunshine State Health Plan	$398 - $10,204	660%
Aetna	$469 - $500	778%
Humana	$594 - $633	986%
Plotkin Health	$781 - $833	1296%
Prime Health Sheriff	$781 - $833	1296%
Multiplan	$1,218 - $1,416	2021%
Ppo Next	$1,328 - $1,416	2203%
Novanet	$1,406 - $1,499	2333%

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 $1,622.
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 Gulf Coast 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.