EKG tracing at Samuel Mahelona Memorial Hospital. CPT 93005.
What Samuel Mahelona Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$30.55cash price (self-pay)
$370list price
$7.07–$434range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare | Medicaid | $15.16 |
| Hawaii Medical Service Association | Commercial | $75.34 |
| AlohaCare | Medicaid | $185 |
| AlohaCare | Medicare | $185 |
| Ohana Health Plan | Medicaid | $185 |
| Ohana Health Plan | Medicare | $185 |
| Humana | Medicare | $193 |
| Devoted Health | Medicare | $204 |
| Kaiser Permanente | Medicaid | $204 |
| Hawaii Medical Service Association | Medicare | $209 |
| Kaiser Permanente | Medicare | $209 |
| UnitedHealthcare | Medicare | $209 |
| University Health Alliance | Commercial | $216 |
| Kaiser Permanente | Commercial | $285 |
| Health Management Network | Commercial | $315 |
| Hawaii Western Management Group | Commercial | $352 |
| MDX Hawaii | PPO | $373 |
| Hawaii Medical Service Association | ABD | $434 |
| Hawaii Medical Service Association | Non-ABD | $434 |
Inpatient
$241cash price (self-pay)
$385list price
$315–$388range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $327 |
| Kaiser Permanente | Commercial | $347 |
| MDX Hawaii | PPO | $373 |
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