EKG tracing at IU Health White Memorial Hospital. CPT 93005.
What IU Health White Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$90.73cash price (self-pay)
$291list price
$69.84–$758range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Other - Self-Pay | $90.73 |
| Elevance Health | All Government Medicaid HIP | $136 |
| Caresource | All Managed Medicaid | $136 |
| Elevance Health | All Managed Medicaid | $136 |
| Managed Health Services | All Government Medicaid HIP | $136 |
| Caresource | All Government Medicaid HIP | $136 |
| Managed Health Services | All Government Medicaid | $136 |
| United Healthcare | All Managed Medicaid | $136 |
| Indiana Health Network (IHN) | All Managed Care | $151 |
| Suburban Health Organization | PPO - Witham Health Services | $153 |
| Suburban Health Organization | PPO - Direct | $153 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $165 |
| Aetna | POS - Cox Medical Plans | $165 |
| SIHO Insurance Services | HMO/POS Plans | $165 |
| Aetna | HMO - Coventry Plans | $165 |
| Elevance Health | All HMO/POS | $165 |
| SIHO Insurance Services | All PPO Plans | $165 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $165 |
| Aetna | PPO - IN Preferred | $165 |
| Elevance Health | All PPO | $165 |
| Elevance Health | All IUHP Employee Plans | $165 |
| Elevance Health | All Traditional Plans | $165 |
| Aetna | PPO/POS | $165 |
| SIHO Insurance Services | PPO - Union Health | $165 |
| Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $165 |
| Encore Health Network | PPO | $165 |
| United Healthcare | All Managed Care | $165 |
| Aetna | PPO - First Health | $169 |
| Aetna | PPO - NAP | $169 |
| Unified Group Services | HMO | $180 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.