CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida South Shore Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $251
Cash Discount Price: $1,195
vs. Medicare Baseline: 4.16x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida South Shore Hospital is $251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,195. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.16x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$1,195

Average discount available for prompt cash payment at this facility.

Insurance Median

$251

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: $1,195 (1983%)

Insurance Median: $251 (416%)

Cash: $1,195 (1983% of Medicare)

Ins. Median: $251 (416% 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 416% of the Medicare baseline (a markup of 316%). 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	$56	93%
Access 2 Healthcare Physicians Freedom Health	$86	143%
Access 2 Healthcare Physicians Optimum	$86	143%
Freedom Health Care	$93	154%
Optimum Healthcare	$93	154%
Avmed	$96 - $299	159%
Simply Healthcare	$152 - $184	252%
Oscar	$179	297%
United	$196 - $538	325%
Cigna	$215	357%
Molina	$227 - $323	377%
Evolutions Healthcare Systems	$275 - $1,100	456%
Sunshine State Health Plan	$305	506%
Humana	$335	556%
Aetna	$359	596%
Plotkin Health	$598	992%
Prime Health Sheriff	$598	992%
Multiplan	$897 - $1,016	1488%

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 $1,195.
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 South Shore 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.