EKG tracing at Saint Joseph Regional Medical Center-Plymouth Campus. CPT 93005.
What Saint Joseph Regional Medical Center-Plymouth Campus publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$268cash price (self-pay)
$413list price
$10.00–$564range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicaid | Medicaid | $32.30 |
| Meridian Medicaid | Medicaid | $32.30 |
| United Healthcare Medicaid | Medicaid | $32.30 |
| Blue Cross Complete - Mi | Medicaid | $32.30 |
| Priority Health Medicaid | Medicaid | $32.30 |
| BCBS Medicare Advantage Generic | Anthem BCBS Healthy Medicare Advanta | $61.17 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $61.17 |
| Blue Cross - In (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv | $61.17 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $62.39 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $62.41 |
| Pace-Trinity Health | Pace Trinity Health | $62.41 |
| Meridian Complete | Meridian Medicare Advantage | $62.41 |
| Medigold Medicare Advantage | Medigold Medicare Advantage | $63.66 |
| Provider Partners Health Plan Of Indiana | Provider Partners Health Pl | $68.66 |
| Physicians Health Plan Northern Indiana Health Insurance | Select Php | $99.86 |
| Allied Benefit Systems | Select Curtis Product | $119 |
| Auxiant | Select Auxiant Jamil Packaging | $119 |
| Auxiant | Select Auxiant Pike Lumber Medicare Adv | $134 |
| Caresource Medicaid | Caresource Medicaid | $136 |
| Managed Health Services - Indiana | Managed Health Services | $136 |
| United Healthcare Medicaid | United Healthcare Medicaid | $136 |
| Blue Cross - In (Anthem) Medicaid Advantage | Anthem BCBS Medicaid Hhw | $136 |
| Blue Cross - In (Anthem) Medicaid Advantage | Anthem BCBS Medicaid Hip | $136 |
| Physicians Health Plan Northern Indiana Health Insurance | Php Freedom | $188 |
| Blue Cross - Pa (Capital) | Anthem BCBS | $220 |
| Blue Cross - Pa (Independence) | Anthem BCBS | $220 |
| Blue Cross - Ne | Anthem BCBS | $220 |
| Blue Cross - Ia (Wellmark) | Anthem BCBS | $220 |
| Blue Cross - Wi (Anthem) | Anthem BCBS | $220 |
| Blue Cross - IL | Anthem BCBS | $220 |
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All common services at Saint Joseph Regional Medical Center-Plymouth Campus