CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Fishermen's Community Hospital

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $164
Cash Discount Price: $409
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Fishermen's Community Hospital is $164. 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 2.72x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.

Cash / Self-Pay

$409

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

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: $164 (272%)

Cash: $409 (679% of Medicare)

Ins. Median: $164 (272% 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 272% of the Medicare baseline (a markup of 172%). 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
Amerigroup	$8 - $16	13%
Medicaid / KanCare	$8 - $18	13%
Sunshine State	$8 - $17	13%
UnitedHealthcare	$8 - $629	13%
Wellcare	$8 - $17	13%
Aetna	$9 - $482	15%
Vista	$9 - $17	15%
Blue Cross Blue Shield	$105 - $629	174%
Leon Medical	$132	219%
Medica Health Plan	$132	219%
Medicare (plans)	$132 - $178	219%
Humana	$144	239%
Avmed	$145 - $521	241%
Cigna	$151 - $503	251%
Non Contracted	$231	383%
International	$409	679%
Amerihealth	$472	783%
Dimension Health Plan	$472 - $566	783%
Affordable	$566	939%
Phcs	$566	939%
Quality Health	$566	939%

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 $409.
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 Fishermen's Community 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.