CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: St Lucie Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $394
Cash Discount Price: $1,516
vs. Medicare Baseline: 6.54x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at St Lucie Medical Center is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,516. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 6.54x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.

Cash / Self-Pay

$1,516

Average discount available for prompt cash payment at this facility.

Insurance Median

$394

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: $1,516 (2515%)

Insurance Median: $394 (654%)

Cash: $1,516 (2515% of Medicare)

Ins. Median: $394 (654% 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 654% of the Medicare baseline (a markup of 554%). 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 - $258	25%
Careworks (Rockport)	$16 - $264	27%
Prime Health	$16 - $264	27%
Freedom Health	$130 - $243	216%
Optimum	$130	216%
Avmed	$197 - $758	327%
Simply Healthcare Plans	$197	327%
Molina	$288 - $409	478%
Oscar	$288	478%
Health Sun Health Plan	$323	536%
Simply Healthcare	$356	591%
Sunshine State Health Plan	$387	642%
Cigna	$399 - $532	662%
Aetna	$455	755%
Humana	$561 - $606	931%
United Ppo	$667	1107%
United	$682	1132%
Plotkin Health	$758	1258%
Prime Health Sherriff	$758	1258%
Multiplan	$1,137 - $1,289	1887%

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 $1,516.
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 St Lucie Medical Center 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.