EKG tracing at Banner Payson Medical Center. CPT 93005.
What Banner Payson Medical Center publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$135cash price (self-pay)
$267list price
$25.99–$240range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Physicians IPA | Medicaid | $25.99 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $25.99 |
| Health Choice Arizona, Inc. | Medicaid | $25.99 |
| Health Net | Medicaid | $25.99 |
| Mercy Care | Mercy Medicaid | $25.99 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $81.55 |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $86.98 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $91.33 |
| Aetna | Banner Employee Plans | $107 |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $109 |
| Blue Cross Blue Shield of Arizona | Commercial | $109 |
| Banner Health | Medicare Advantage | $109 |
| Aetna | Medicare Advantage | $109 |
| Arizona Physicians IPA | Medicare Advantage | $109 |
| Banner University Health Plan | Medicare Advantage | $109 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $109 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Me | $109 |
| Gila River Health Care Corporation | Managed Care Program | $109 |
| Health Choice Arizona, Inc. | Medicare Advantage | $109 |
| Health Net | Medicare | $109 |
| Kaiser Foundation Health Plan | Medicare Advantage | $109 |
| Mercy Care | Mercy Care Advantage | $109 |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $110 |
| Carekin | Medicare Advantage | $115 |
| Humana | Medicare Advantage | $116 |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $120 |
| Plotkin Health | Plotkin Health | $120 |
| Arizona Priority Care | Medicare Advantage | $120 |
| Devoted Health Services | Medicare Advantage | $120 |
| Gold Kidney Health Plan | Medicare Advantage | $120 |
Inpatient
$135cash price (self-pay)
$267list price
$120–$240range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $120 |
| Plotkin Health | Plotkin Health | $120 |
| Aetna | Medical Rental | $169 |
| Quiktrip Corporation | Commercial | $186 |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local | $207 |
| Arizona Medical Network | Commercial | $231 |
| Provider Network of America | Commercial | $240 |
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