EKG tracing at Southeast Iowa Regional Medical Center West Burlington. CPT 93005.
What Southeast Iowa Regional Medical Center West Burlington publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
—cash price (self-pay)
$237list price
$4.70–$220range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| American Healthplan of Iowa - Midlevel | MEDICARE ADV. | $4.70 |
| Humana | MEDICARE ADV. | $5.70 |
| American Healthplan of Iowa - MD | MEDICARE ADV. | $6.86 |
| Aetna | FIRST HEALTH | $7.95 |
| Wellmark Blue Cross - Anesthesiology | PPO | $12.70 |
| Wellmark Blue Cross - Pathologist | PPO | $12.70 |
| Medicaid - Nurse Practitioner | MANAGED MEDICAID | $13.27 |
| Medicaid - Physician Assistant | MANAGED MEDICAID | $13.55 |
| Elap | Primary | $13.73 |
| United Healthcare | ALL PRODUCTS | $14.25 |
| Midlands Choice | ALL PRODUCTS | $14.84 |
| Medicaid - Physician | MANAGED MEDICAID | $15.61 |
| Elap | Specialty | $15.70 |
| Elap | Anesthesia | $19.62 |
| Immergrun | ALL PRODUCTS | $37.97 |
| 6 Degree | ALL PRODUCTS | $48.22 |
| Plain Church | ALL PRODUCTS | $62.40 |
| Wellmark Blue Cross | HMO | $82.93 |
| Absolute Solutions | ALL PRODUCTS | $86.40 |
| First Agency | ALL PRODUCTS | $86.40 |
| Multiplan | ALL PRODUCTS | $86.40 |
| Wellmark Blue Cross | PPO | $91.05 |
| Henderson County | ALL PRODUCTS | $91.20 |
| Wellpoint (Amerigroup) | Managed Medicaid | $133 |
| Immugrun | All Products | $149 |
| Brighton Amish Church | All Products | $154 |
| Plain Church | All Products | $154 |
| 6 Degree | All Products | $190 |
| Midlands Choice | All Products | $201 |
| Geha | PPO | $220 |
Inpatient
—cash price (self-pay)
$237list price
$133–$220range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | All Products | $213 |
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All common services at Southeast Iowa Regional Medical Center West Burlington