EKG tracing at Sullivan County Community Hospital. CPT 93005.
What Sullivan County Community Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$272cash price (self-pay)
$365list price
$60.27–$368range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mhs Hlthy In Mcaid | Mhs Hlthy In Mcaid | $60.27 |
| BCBS Mcr Adv | BCBS Mcr Adv | $110 |
| Ambetter Comm-Exch - All Plans | Ambetter Comm-Exch - All Plans | $110 |
| BCBS Essential | BCBS Essential | $110 |
| Mdwise Mcr Adv | Mdwise Mcr Adv | $110 |
| Va Ccn - All Plans | Va Ccn - All Plans | $110 |
| Humana Mcr Adv | Humana Mcr Adv | $111 |
| BCBS Healthsync | BCBS Healthsync | $130 |
| BCBS Pathway X | BCBS Pathway X | $130 |
| BCBS HMO | BCBS HMO | $161 |
| BCBS Pathway | BCBS Pathway | $163 |
| BCBS PPO | BCBS PPO | $163 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $193 |
| Siho - All Plans | Siho - All Plans | $274 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $310 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $310 |
| Humana Mcaid | Humana Mcaid | $365 |
| Mdwise Mcaid - All Other Plans | Mdwise Mcaid - All Other Plans | $365 |
| Mhs Mcaid - All Other Plans | Mhs Mcaid - All Other Plans | $365 |
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