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EKG tracing at Dupont Hospital. CPT 93005.

What Dupont Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$9.99cash price (self-pay)
$596list price
$8.97–$536range insurers pay
Insurance planNegotiated rate
Veterans Eval Services | Veterans Eval Services$59.40
Anthem BCBS | Anthem IN HIP$62.41
Align IN Work Comp | Align IN Work Comp$99.86
Physicians Health Plan | PHP Options$144
Amish Aid | Amish Aid$161
Self Pay | Self Pay$161
Lutheran Preferred | Lutheran Preferred CHS Employees$177
Physicians Health Plan | PHP Classic Network$190
Cigna | Cigna HMO$193
PHP Freedom Network | PHP Freedom Network$198
Anthem BCBS | Anthem IN Healthsync$210
Cigna | Cigna PPO$216
Aetna | Aetna NBD$221
Aetna PSSD J and J | Aetna PSSD JJ$221
Physicians Health Plan | PHP Platinum Network$231
Lutheran Preferred | Lutheran Preferred Three Rivers Plus$238
Anthem | Anthem IN HMO PPO TRAD$256
Aetna | Aetna$266
Lutheran Preferred | Lutheran Preferred Fixed$268
Lutheran Preferred | Lutheran Preferred Inclusive$268
Lutheran Preferred | Lutheran Preferred Three Rivers$268
Encore PPO | Encore Combined PPO$298
Lutheran Preferred | Lutheran Preferred Exclusive Plus$298
Lutheran Network | Lutheran Preferred Exclusive Plus MRM$298
Medical Mutual of OH | Medical Mutual of Ohio$316
Sagamore | Sagamore Select Fully Insured$321
Lutheran Preferred | Lutheran Preferred Choice$328
Lutheran Preferred | Lutheran Preferred Exclusive$328
Sagamore | Sagamore Plus$332
Sagamore | Sagamore Select Self Insured$332

Inpatient

$16.65cash price (self-pay)
$596list price
$10.99–$536range insurers pay
Insurance planNegotiated rate
Lutheran Preferred | Lutheran Preferred CHS Employees$177
Cigna | Cigna HMO$193
Cigna | Cigna PPO$216
Aetna | Aetna NBD$221
Aetna PSSD J and J | Aetna PSSD JJ$221
Physicians Health Plan | PHP Platinum Network$231
Aetna | Aetna$266
Self Pay | Self Pay$268
Medical Mutual of OH | Medical Mutual of Ohio$316
Lutheran Preferred | Lutheran Preferred Choice$328
Lutheran Preferred | Lutheran Preferred Exclusive$328
Lutheran Preferred | Lutheran Preferred CCSI$358
Prime Health Services | Prime Health Services$447
Prime Health Services | Prime Health Services Auto$447
FrontPath | FrontPath Health Coalition$477
Encore Health Network | Encore Fully Funded$489
Advantage Health Solutions | Advantage Health Solutions$495
Multiplan | Multiplan PPO Primary Network$513
Allied Benefit Systems | Allied Benefit Systems$536
Encore Health Network | Encore Self Funded$536
Multiplan | Multiplan PPO Complimentary Network$536
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All common services at Dupont Hospital