EKG tracing at Dominican Hospital. CPT 93005.
What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$279cash price (self-pay)
$1,477list price
$18.82–$20,963range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - Anthem | Medicaid|All Plans | $18.82 |
| Health Net | Medicaid|< 21 | $23.15 |
| Health Net | Medicaid|> 21 | $23.15 |
| COSC Psych | Medicaid|All Plans | $29.84 |
| Central California Alliance for Health | Medicaid|All Plans | $29.84 |
| Blue Shield CA | Medicare|All Plans | $81.61 |
| Health Net | Medicare|All Plans | $81.61 |
| Kaiser | Medicare|All Plans | $81.61 |
| United | Medicare|All Plans | $81.61 |
| Blue Shield CA | Commercial|DHMF | $93.04 |
| BCBS - Anthem | Commercial|All Other Plans | $243 |
| Sutter Health | Commercial|All Plans | $255 |
| BCBS - Anthem | Commercial|MCS | $339 |
| Kaiser | Commercial|All Plans | $960 |
| Western Growers | Commercial|All Plans | $1,034 |
| Healthsmart | Commercial|All Plans | $1,182 |
| First Health | Commercial|All Plans | $1,255 |
| Multiplan | Commercial|All Plans | $1,255 |
| United | Commercial|Non-Options PPO | $1,315 |
| Health Net | Commercial|Community Care | $4,988 |
| Health Net | Commercial|Care Product | $6,074 |
| Health Net | Commercial|Blue Gold | $6,144 |
| Health Net | Commercial|All Other Plans | $6,748 |
| United | Commercial|HMO | $16,583 |
| United | Commercial|All Other Plans | $17,458 |
| United | Commercial|Options PPO | $20,963 |
Inpatient
$279cash price (self-pay)
$1,477list price
$495–$1,350range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthsmart | Commercial|All Plans | $1,182 |
| First Health | Commercial|All Plans | $1,255 |
| Multiplan | Commercial|All Plans | $1,255 |
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