CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: HCA Florida Poinciana Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $277
Cash Discount Price: $1,595
vs. Medicare Baseline: 4.60x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at HCA Florida Poinciana Hospital is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,595. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 4.60x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.

Cash / Self-Pay

$1,595

Average discount available for prompt cash payment at this facility.

Insurance Median

$277

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: $1,595 (2646%)

Insurance Median: $277 (460%)

Cash: $1,595 (2646% of Medicare)

Ins. Median: $277 (460% 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 460% of the Medicare baseline (a markup of 360%). 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
Freedom Health	$4 - $124	7%
Optimum	$4 - $124	7%
Avmed	$5 - $861	8%
Oscar	$9 - $276	15%
Simply	$9 - $265	15%
Simply Healthcare	$9 - $288	15%
Cigna	$10 - $300	17%
Molina Healthcare	$11 - $465	18%
Evolutions	$13 - $396	22%
Sunshine State Health Plan	$14 - $10,254	23%
Corvel Corporation	$15 - $248	25%
Careworks (Rockport Community)	$16 - $261	27%
Humana	$16 - $482	27%
Prime Health	$16 - $253	27%
Aetna	$17 - $517	28%
United	$19 - $775	32%
Plotkin Health	$28 - $861	46%
Prime Health Sheriff	$28 - $861	46%
Multiplan	$42 - $1,464	70%

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 $1,595.
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 Poinciana 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.