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EKG tracing at Adventist Health Clearlake Hospital. CPT 93005.

What Adventist Health Clearlake Hospital publishes for this service, straight from its standard-charges file, last updated July 29, 2026.

Outpatient / ER

$202cash price (self-pay)
$560list price
$23.52–$924range insurers pay
Insurance planNegotiated rate
Medi-Cal | Medi-Cal$23.52
Bc Managed Mcal | Bc Managed Mcal$23.52
Blue Shield Mcr Adv | Blue Shield Mcr Adv$118
Kaiser Mcr Adv | Kaiser Mcr Adv$118
Tricare Blue Shield- All Plans | Tricare Blue Shield- All Plans$118
Blue Cross Mcr Adv | Blue Cross Mcr Adv$122
UHC Mcr Adv | UHC Mcr Adv$129
Blue Cross Exchange | Blue Cross Exchange$136
Blue Cross Non-Mcs | Blue Cross Non-Mcs$151
Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans$181
Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl$235
Aetna- All Plans | Aetna- All Plans$418
Western Growers- All Plans | Western Growers- All Plans$420
Blue Shield Non-Epn | Blue Shield Non-Epn$430
Blue Shield Epn - All Other Plans | Blue Shield Epn - All Other Plans$430
UHC Jll | UHC Jll$444
First Health- All Plans | First Health- All Plans$448
Healthnet- All Plans | Healthnet- All Plans$459
UHC All Payer - All Other Plans | UHC All Payer - All Other Plans$467
Foundation- All Plans | Foundation- All Plans$476
Health Mgmt Network- All Plans | Health Mgmt Network- All Plans$476
Humana- All Plans | Humana- All Plans$476
Phcs- All Plans | Phcs- All Plans$476
Cigna- All Plans | Cigna- All Plans$504
Kaiser- All Other Plans | Kaiser- All Other Plans$504
Interplan- All Plans | Interplan- All Plans$504
Three Rivers Provider Network- All Plans | Three Rivers Provider Netwo$504
Partnership Mcal - All Plans | Partnership Mcal - All Plans$924
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All common services at Adventist Health Clearlake Hospital