EKG tracing at Pali Momi Medical Center. CPT 93005.
What Pali Momi Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$16.80cash price (self-pay)
$398list price
$7.28–$344range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alohacare | Abd - Adult | $7.28 |
| Alohacare | Abd - Pediatric | $7.28 |
| Ohana | Quest - Abd | $7.49 |
| Blended Rate UHC | All Products | $15.16 |
| UHC | All Products | $15.16 |
| Hmsa | All Products | $28.66 |
| Alohacare | Medicare Advantage | $58.21 |
| Hmsa | Medicare Advantage | $58.21 |
| Mdx | Humana Medicare | $58.21 |
| Mdx | UHC Medicare | $58.21 |
| Ohana | Medicare Advantage | $60.54 |
| Devoted | Medicare Advantage | $61.12 |
| Ohana | Quest - Non-Abd | $70.41 |
| Alohacare | Non-Abd - Pediatric | $77.45 |
| Alohacare | Non-Abd - Adult | $77.45 |
| Calvos | Select Care | $299 |
| Mimoh | All Products | $299 |
| Uha | All Products | $299 |
| Hwmg/Hmaa | All Products | $300 |
| Hcha | All Products | $318 |
| Kaiser | All Products | $318 |
| Mdx | All Products | $318 |
| Pac Admin | All Products | $318 |
| Verdegard | Union Trust Fund | $318 |
| Coventry | All Products | $338 |
| Mccp | All Products | $338 |
| Multiplan | All Products | $338 |
Inpatient
$16.80cash price (self-pay)
$398list price
$21.00–$344range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | All Products | $318 |
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