CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: West Kendall Baptist Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93005
  • Insurance Median: $67
  • Cash Discount Price: $409
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at West Kendall Baptist Hospital is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $409. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.11x the Medicare baseline. Located in 9555 Sw 162 Ave, Miami, FL.
Cash / Self-Pay
$409

Average discount available for prompt cash payment at this facility.

Insurance Median
$67

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: $409 (679%)
Insurance Median: $67 (111%)
Cash: $409 (679% of Medicare)
Ins. Median: $67 (111% 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.

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
Amerigroup $8 - $16 13%
Medicaid / KanCare $8 - $18 13%
Sunshine State $8 - $17 13%
UnitedHealthcare $8 - $629 13%
Wellcare $8 - $17 13%
Aetna $9 - $503 15%
Vista $9 - $17 15%
Blue Cross Blue Shield $26 - $408 43%
Avmed $27 - $306 45%
Cigna $28 - $503 46%
Medicare (plans) $31 - $83 51%
Medica Health Plan $33 - $66 55%
Humana $34 - $67 56%
Leon Medical $34 - $69 56%
Non Contracted $231 383%
Amerihealth $283 470%
International $409 679%
Dimension Health Plan $472 - $566 783%
Affordable $566 939%
Phcs $566 939%
Quality Health $566 939%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9555 Sw 162 Ave, Miami, FL 33196
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals