CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Raulerson Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $77
Cash Discount Price: $601
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Raulerson Hospital is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $601. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.28x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$601

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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: $601 (997%)

Insurance Median: $77 (128%)

Cash: $601 (997% of Medicare)

Ins. Median: $77 (128% 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
Freedom Health	$6 - $182	10%
Optimum	$6 - $98	10%
Avmed	$8 - $568	13%
Simply Healthcare Plans	$8 - $148	13%
Molina	$12 - $307	20%
Oscar	$12 - $216	20%
Health Sun Health Plan	$14 - $242	23%
Corvel Corporation	$15 - $233	25%
Simply Healthcare	$15 - $267	25%
Careworks (Rockport)	$16 - $238	27%
Prime Health	$16 - $238	27%
Cigna	$17 - $399	28%
Sunshine State Health Plan	$17 - $290	28%
Aetna	$20 - $341	33%
Humana	$24 - $455	40%
United	$29 - $512	48%
United Ppo	$29 - $500	48%
Plotkin Health	$32 - $568	53%
Prime Health Sherriff	$32 - $568	53%
Multiplan	$49 - $966	81%

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 $601.
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 Raulerson 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.