EKG tracing at Veterans Memorial Hospital City Of Waukon Ia. CPT 93005.

What Veterans Memorial Hospital City Of Waukon Ia publishes for this service, straight from its standard-charges file, last updated May 11, 2026.

Outpatient / ER

$133cash price (self-pay)

$233list price

$28.54–$342range insurers pay

Insurance plan	Negotiated rate
Wellmark HMO - All Other Plans \| Wellmark HMO - All Other Plans	$28.54
Wellmark PPO \| Wellmark PPO	$31.33
Amerigroup Mcaid - All Other Plans \| Amerigroup Mcaid - All Other Plan	$60.27
Amerigroup Mcr Adv \| Amerigroup Mcr Adv	$100
Iowa Total Care Exchange \| Iowa Total Care Exchange	$100
Iowa Total Care Mcr Adv \| Iowa Total Care Mcr Adv	$100
Molina Mcr Adv \| Molina Mcr Adv	$100
Quartz Mcr Adv \| Quartz Mcr Adv	$100
Welmark Mcr Adv \| Welmark Mcr Adv	$100
Humana Mcr Adv \| Humana Mcr Adv	$100
Medica Mcr Adv \| Medica Mcr Adv	$100
UHC Mcr Adv Ip/Op Only \| UHC Mcr Adv Ip/Op Only	$100
UHC Va Ip/Op Only \| UHC Va Ip/Op Only	$100
Iowa Total Care Mcaid - All Other Plans \| Iowa Total Care Mcaid - All	$119
Molina Mcaid - All Other Plans \| Molina Mcaid - All Other Plans	$119
Coventry/Aetna Mcr Adv \| Coventry/Aetna Mcr Adv	$156
Humana Comm - All Other \| Humana Comm - All Other	$175
Quartz Comm - All Other Plans \| Quartz Comm - All Other Plans	$175
UHC Comm - All Other Plans \| UHC Comm - All Other Plans	$198
Medica Comm - All Other Plans \| Medica Comm - All Other Plans	$342

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