CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Brandon Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $361
Cash Discount Price: $1,951
vs. Medicare Baseline: 5.99x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Brandon Hospital is $361. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,951. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 5.99x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$1,951

Average discount available for prompt cash payment at this facility.

Insurance Median

$361

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: $1,951 (3237%)

Insurance Median: $361 (599%)

Cash: $1,951 (3237% of Medicare)

Ins. Median: $361 (599% 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 599% of the Medicare baseline (a markup of 499%). 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 - $251	25%
Rockport Healthcare Group	$15 - $251	25%
Prime Health	$16 - $257	27%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$92	153%
Access 2 Healthcare Physicians Freedom Health	$140	232%
Access 2 Healthcare Physicians Optimum	$140	232%
Freedom Health Care	$152	252%
Optimum Healthcare	$152	252%
Avmed	$156 - $488	259%
Simply Healthcare	$248 - $301	411%
Oscar	$293	486%
United	$320 - $878	531%
Cigna	$351	582%
Molina	$371 - $527	616%
Evolutions Healthcare Systems	$449 - $1,795	745%
Sunshine State Health Plan	$498	826%
Humana	$546	906%
Aetna	$585	971%
Beacon Health Options	$976	1619%
Plotkin Health	$976	1619%
Prime Health Sheriff	$976	1619%
Multiplan	$1,464 - $1,659	2429%
Evernorth	$1,561	2590%

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 $1,951.
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 Brandon 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.