CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Palms West Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $298
Cash Discount Price: $1,354
vs. Medicare Baseline: 4.94x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Palms West Hospital is $298. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,354. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.94x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$1,354

Average discount available for prompt cash payment at this facility.

Insurance Median

$298

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: $1,354 (2247%)

Insurance Median: $298 (494%)

Cash: $1,354 (2247% of Medicare)

Ins. Median: $298 (494% 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 494% of the Medicare baseline (a markup of 394%). 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 - $260	25%
Careworks (Rockport)	$16 - $266	27%
Prime Health	$16 - $266	27%
Freedom Health	$116 - $217	192%
Optimum	$116	192%
Avmed	$176 - $677	292%
Simply Healthcare Plans	$176	292%
Simply Healthcare	$183	304%
Oscar	$217	360%
Amerihealth Caritas	$230	382%
Molina	$257 - $366	426%
Cigna	$284	471%
Humana	$284 - $460	471%
Health Sun Health Plan	$288	478%
Aids Healthcare	$298 - $1,625	494%
Mmm Of Fl (Health Advantage Plan)	$311	516%
United Ppo	$321	533%
Sunshine State Health Plan	$352	584%
Aetna	$406	674%
Healthy Palm Beaches	$550	913%
United	$609	1010%
Health Care District	$677	1123%
Palm Beach Juvenile Correction	$677	1123%
Plotkin Health	$677	1123%
Prime Health Sherriff	$677	1123%
Medica Healthcare	$785	1302%
Multiplan	$1,016 - $1,151	1686%

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 $1,354.
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 Palms West 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.