CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Memorial Hospital Miramar

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $235
  • Cash Discount Price: $415
  • vs. Medicare Baseline: 3.90x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Memorial Hospital Miramar is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $415. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 3.90x the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.
Cash / Self-Pay
$415

Average discount available for prompt cash payment at this facility.

Insurance Median
$235

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: $415 (689%)
Insurance Median: $235 (390%)
Cash: $415 (689% of Medicare)
Ins. Median: $235 (390% 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 390% of the Medicare baseline (a markup of 290%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Avmed $22 - $182 37%
Amerihealth Caritas $58 - $95 96%
UnitedHealthcare $58 - $254 96%
Community Care Plan $61 - $101 101%
Cigna $62 - $276 103%
Molina $65 - $107 108%
Wellcare $65 - $67 108%
Florida Community Care $66 110%
Humana $67 111%
Aetna $68 - $236 113%
Health Sun $70 - $445 116%
Solis Health Plan $70 116%
Florida Pace Centers $71 118%
Align Senior Care $75 124%
Longevity $77 128%
Sunshine $83 - $249 138%
Employers Health Network $116 - $190 192%
Emerging Therapy Solutions $217 - $356 360%
Allianz $235 - $385 390%
Axis $235 - $385 390%
Desjardins Financial Security Life Assurance Company $235 - $385 390%
Global Health Claims $235 - $504 390%
Global Medical Management $235 - $385 390%
Global Reach Health $235 - $385 390%
National Healthcare Solutions $235 - $385 390%
Plotkin $235 - $385 390%
Quality Health Management $235 - $385 390%
Quebec Inc $235 - $385 390%
Star Healthcare Network $235 - $385 390%
World Medical Care $235 - $385 390%
Worldwide Managed Care Partners $235 - $385 390%
Worldwide Medical Assurance $235 - $385 390%
Dimension Health $244 - $400 405%
Corvel $272 451%
Employers Choice Network $272 451%
First Health $272 451%
Gallagher Bassett $272 - $474 451%
Prime Health Services $272 451%
Broward County $718 - $2,726 1191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Sw 172Nd Ave, Miramar, FL 33029
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals