EKG tracing at Gottlieb Memorial Hospital. CPT 93005.
What Gottlieb Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$0.01cash price (self-pay)
$432list price
$0.01–$315range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | All Products | $25.53 |
| Meridian | Medicaid | $25.59 |
| Molina | Medicaid | $25.59 |
| BCBS IL | MMP/Duals | $57.59 |
| Aetna | Medicare Advantage | $61.92 |
| VACCN United | Veterans Affairs | $61.92 |
| Humana | Medicare Advantage | $63.34 |
| Cigna | Medicare Advantage | $63.78 |
| Centene | Medicare Advantage | $65.02 |
| Molina | Medicare Advantage | $65.02 |
| Wellcare | Medicare Advantage | $65.02 |
| Oscar IFP | Health Exchange | $68.11 |
| Meridian | MMP/Duals | $71.83 |
| Molina Marketplace IFP | Health Exchange | $77.40 |
| Cigna | HMO | $130 |
| Cigna | PPO | $184 |
| Aetna | All Products | $190 |
| BCBS IL | Blue Choice | $200 |
| UHC | Navigate Core | $218 |
| UHC | All Products | $238 |
| BCBS IL | PPO | $248 |
| BCBS IL | HMO | $289 |
| BCBS IL | Blue Precision | $301 |
| Aetna | FH-Medical Rental | $315 |
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