EKG tracing at Jacksonville Memorial Hospital. CPT 93005.
What Jacksonville Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$500cash price (self-pay)
$500list price
$0.60–$500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $39.68 |
| Coventry | Coventry Advantra Medicare Advantage HMO | $42.62 |
| Health Alliance | Health Alliance Medicare Advantage | $42.62 |
| Humana | Humana/ChoiceCare Medicare Advantage PPO/HMO | $42.62 |
| Medicare | Medicare | $42.62 |
| United HealthCare | United HealthCare Medicare Advantage | $44.75 |
| Tricare | Tricare | $48.46 |
| Medicaid | Illinois Medicaid | $50.35 |
| Molina HealthCare | Molina Medicaid | $50.35 |
| WellCare Medicare Advantage PPO | WellCare Medicare Advantage PPO | $78.72 |
| UHC Va Ccn | UHC Va Ccn | $80.00 |
| Commercial Workers Compensation | Commercial Workers Compensation | $127 |
| Illinois Workers Compensation | Illinois Workers Compensation | $163 |
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $230 |
| Corvel/CorCare | Corvel/CorCare | $273 |
| 6 Degrees Health | 6 Degrees Health | $300 |
| Hope Trust | Hope Trust | $300 |
| Hst | Hst | $300 |
| Health Alliance | Health Alliance Fully Insured/Self Funded/ACA | $340 |
| Cigna | Cigna | $347 |
| United Healthcare | United Healthcare PPO | $360 |
| Aetna | Aetna PPO | $375 |
| Current Health Network | Current Health Network | $375 |
| Healthlink | Healthlink HMO | $425 |
| Humana/ChoiceCare | Humana/ChoiceCare | $427 |
| PHCS/Multiplan | PHCS/Multiplan PPO | $450 |
| Hfn | Hfn PPO | $475 |
| HFN | HFN Workers Compensation | $475 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $500 |
| Liability | Liability | $500 |
Inpatient
$500cash price (self-pay)
$500list price
$230–$500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $230 |
| Current Health Network | Current Health Network | $275 |
| 6 Degrees Health | 6 Degrees Health | $300 |
| Hope Trust | Hope Trust | $300 |
| Hst | Hst | $300 |
| Cigna | Cigna | $347 |
| Aetna | Aetna PPO | $350 |
| Humana/ChoiceCare | Humana/ChoiceCare | $427 |
| Hfn | Hfn PPO | $475 |
| HFN | HFN Workers Compensation | $475 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $500 |
| Liability | Liability | $500 |
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