EKG tracing at Ascension Via Christi Hospital St. Teresa. CPT 93005.
What Ascension Via Christi Hospital St. Teresa publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$54.93–$154range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Default - 100 Percent Of Medicare Rates | 1016_default - 100 Percent O | $54.93 |
| Medicare Advantage Coventry | 1339_medicare Advantage Coventry Outpati | $54.93 |
| Medicare Advantage Humana | 1340_medicare Advantage Humana Outpatient | $54.93 |
| Medicare Advantage Other | 1341_medicare Advantage Other Outpatient 20 | $54.93 |
| Saint Lukes Health Systems | 1005_saint Luke Health System Outpatient | $54.93 |
| Va | 1015_veterans Outpatient 20230101 | $54.93 |
| Vc Hope | 1342_medicare Advantage Vc Hope Outpatient 20250101 | $54.93 |
| Via Christi Research | 1006_via Christi Research Outpatient 20230101 | $54.93 |
| Aarp Medicare Replacement | 1336_medicare Advantage Aarp Outpatient 20 | $55.48 |
| Allwell Medicare | 1337_medicare Advantage Allwell Outpatient 20250101 | $56.03 |
| Medicare Advantage Blue Cross Blue Shield | 1338_medicare Advantage Bl | $56.03 |
| Medicare Advantage UHC | 1344_stks, Vwks Medicare Advantage United Hea | $56.03 |
| Corizon | 1004_corizon Outpatient Stks, Vwks 20230101 | $68.66 |
| Smarthealth | 1083_smarthealth Outpatient 20230101 | $76.90 |
| Ambetter Sunflower | 1003_ambetter Sunflower Outpatient 20230101 | $93.38 |
| United Healthcare Exchange | 1477_stks, Vwks United Healthcare Exchang | $154 |
Inpatient
—cash price (self-pay)
—list price
$54.93–$154range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Default - 100 Percent Of Medicare Rates | 1490_default - 100 Percent O | $54.93 |
| Medicare Advantage Humana | 1499_medicare Advantage Humana Inpatient R | $54.93 |
| Medicare Advantage Other | 1501_medicare Advantage Other Inpatient Stk | $54.93 |
| Saint Lukes Health Systems | 1493_saint Lukes Health System Inpatient | $54.93 |
| Va | 1492_veterans Inpatient 20251001 | $54.93 |
| Vc Hope | 1502_medicare Advantage Vc Hope Inpatient 20251001 | $54.93 |
| Via Christi Research | 1495_via Christi Research Inpatient 20251001 | $54.93 |
| Aarp Medicare Replacement | 1507_medicare Advantage Aarp Inpatient 202 | $55.48 |
| Medicare Advantage Coventry | 1500_medicare Advantage Coventry Inpatie | $55.48 |
| Allwell Medicare | 1497_medicare Advantage Allwell Inpatient 20251001 | $56.03 |
| Medicare Advantage Blue Cross Blue Shield | 1498_medicare Advantage Bl | $56.03 |
| Medicare Advantage UHC | 1508_stks, Vwks Medicare Advantage United Hea | $56.03 |
| Corizon | 1494_corizon Inpatient Stks, Vwks 20251001 | $68.66 |
| Smarthealth | 1489_smarthealth Inpatient 20251001 | $76.90 |
| Ambetter Sunflower | 1491_ambetter Sunflower Inpatient 20251001 | $93.38 |
| United Healthcare Exchange | 1519_stks, Vwks United Healthcare Exchang | $154 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Ascension Via Christi Hospital St. Teresa