EKG tracing at Memorial Hospital of South Bend. CPT 93005.
What Memorial Hospital of South Bend publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$183cash price (self-pay)
$281list price
$30.46–$281range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial (Granger) | $30.46 |
| McLaren | MI Medicaid | $33.35 |
| UHC | MI Medicaid | $33.35 |
| Devoted Healthcare | Medicare Advantage | $56.20 |
| Anthem | Commercial (excludes Granger) | $56.51 |
| Anthem | HealthSync | $56.51 |
| Anthem | Exchange | $62.22 |
| Anthem | Medicare Advantage | $62.22 |
| Humana | Medicare Advantage | $62.22 |
| PACE | Medicare | $62.22 |
| UHC | Medicare Advantage | $62.22 |
| Caresource | Exchange | $99.55 |
| Anthem | Workers Compensation | $118 |
| Aetna | Medicare Advantage | $126 |
| CHA | Employer Group 4 | $169 |
| Immergrun | Commercial | $169 |
| MHS | Exchange | $183 |
| Cigna | OAP | $197 |
| UHC | Commercial | $203 |
| Aetna | Commercial | $207 |
| Multiplan | Commercial | $208 |
| CHA | Employer Group 5 | $211 |
| Humana | Commercial | $216 |
| Plain Church | Commercial | $225 |
| CHA | Employer Group 6 | $225 |
| Cigna BH | Commercial | $225 |
| Cigna | PPO | $230 |
| Heartland | Hospice | $281 |
Inpatient
$183cash price (self-pay)
$281list price
$56.20–$230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Healthcare | Medicare Advantage | $56.20 |
| Multiplan | Commercial | $183 |
| Cigna | OAP | $197 |
| UHC | Commercial | $203 |
| Humana | Commercial | $205 |
| Aetna | Commercial | $207 |
| CHA | Employer Group 5 | $211 |
| CHA | Employer Group 6 | $225 |
| Cigna BH | Commercial | $225 |
| Immergrun | Commercial | $225 |
| Plain Church | Commercial | $225 |
| Cigna | PPO | $230 |
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