CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Oviedo Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $108
Cash Discount Price: $792
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Oviedo Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $792. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 1.79x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.

Cash / Self-Pay

$792

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $792 (1314%)

Insurance Median: $108 (179%)

Cash: $792 (1314% of Medicare)

Ins. Median: $108 (179% 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.

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	$6 - $108	10%
Optimum	$6 - $108	10%
Avmed	$7 - $749	12%
Simply	$13 - $231	22%
Oscar	$14 - $240	23%
Cigna	$15 - $260	25%
Simply Healthcare	$15 - $250	25%
Prime Health	$16 - $253	27%
Humana	$17 - $299	28%
Molina Healthcare	$17 - $284	28%
Evolutions	$20 - $344	33%
Sunshine State Health Plan	$22 - $10,254	37%
Aetna	$26 - $449	43%
Florida Health Care Plan	$33 - $564	55%
United	$35 - $674	58%

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 $792.
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 Oviedo 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.