EKG tracing at BSA Hospital. CPT 93005.
What BSA Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$56.70cash price (self-pay)
$567list price
$53.07–$482range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Pending Ssi [1616] | Pending Ssi Rca [161601] | $53.07 |
| Star Superior Medicaid [1945] | Superior Chip [194501] | $60.01 |
| First Care Medicaid [1372] | Firstcare Chip [137202] | $60.01 |
| Star Superior Medicaid [1945] | Superior Star Medicaid [194500] | $169 |
| First Care Medicaid [1372] | Firstcare Star Medicaid [137201] | $169 |
| Star Superior Medicaid [1945] | Superior Star Plus [1945001] | $199 |
| Amerigroup Medicaid [1095] | Wellpoint Medicaid Star Plus [1095001] | $199 |
| Cigna Medicaid Replacement [3945] | Cigna Healthspring Medicaid Replac | $221 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $221 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $221 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $221 |
| UHC Medicaid Replacement [3755] | UHC Medicaid Community Plan [375501] | $221 |
| Lucent Health [6000] | Lucent Health [600000] | $221 |
| Black Lung [6055] | Black Lung [605500] | $221 |
| Group Pension Admin [1450] | Gpa Imagine Health [145009] | $284 |
| Texas Rehabilitation [1970] | Texas Workforce Commission [197000] | $323 |
| Nreca [1735] | Nreca [173500] | $348 |
| United Healthcare [2060] | United Healthcare Student Svc [206012] | $348 |
| Rh Administrators [1885] | Rh Administrators [188500] | $397 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $397 |
| Phoenix Home Life [1785] | Phoenix Home Life [178500] | $397 |
| Pan American Life Insurance Co [1770] | Pan American Life [177000] | $397 |
| Phcs [1780] | Freedom Life [178009] | $397 |
| Phcs [1780] | Phcs Multiplan [178000] | $397 |
| Principal Mutual Life [1845] | Principal Colorado Claims [184500] | $397 |
| Ge Group Administrators [1405] | Ge Group Administrators [140500] | $397 |
| Cbsa [1215] | Cbsa [121500] | $397 |
| Web Tpa [2115] | Web Tpa [211501] | $397 |
| Americas Choice Health Plans [1090] | Americas Choice Health Plans [10 | $397 |
| Beech Street [1170] | Beech Street/Cappcare Misc [117000] | $397 |
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