EKG tracing at Fairview Hospital. CPT 93005.
What Fairview Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$33.25cash price (self-pay)
$129list price
$5.02–$211range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Other Government | Tri Tricare | $9.80 |
| Medicare | MCR Traditional Medicare | $10.30 |
| Medicare | MCRManaged Medicare HMO | $10.30 |
| Hospice | Comm Hospice | $10.47 |
| Other Government | MCR Miscellaneous | $10.47 |
| Other Government | MCRManaged USA Family | $10.47 |
| Other Government | MCRManaged VA | $10.47 |
| United Healthcare | Oth United VACCN | $10.47 |
| Fallon | MCRManaged Fallon Medicare Advantage | $10.48 |
| Fallon | MCRManaged Fallon Medicare SCO | $10.56 |
| Health New England | MCRManaged HNE Medicare Advantage | $10.59 |
| Blue Cross | MCRManaged Blue Cross VT Medicare HMO | $10.84 |
| CommCare Alliance | MCRManaged CCA One Care | $11.00 |
| Point32Health | Comm Tufts QHPSUB (Network) | $12.64 |
| Point32Health | MCDManaged Tufts (Network) | $12.64 |
| Comm Fallon QHP | Comm Fallon QHP | $15.62 |
| Aetna | Comm Aetna | $17.62 |
| Comm HNE HMO | Comm HNE HMO | $18.12 |
| Health New England | Comm HNE | $19.20 |
| Comm HNE PPO | Comm HNE PPO | $19.25 |
| Unicare | Comm Wellpoint (Unicare) | $20.77 |
| Fallon | MCDManaged Fallon Medicaid ACO | $51.08 |
| Allways NHP | Comm NHP | $83.29 |
| United Healthcare | Comm United BH | $83.68 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $83.78 |
| Blue Cross | Comm Blue Cross VT PPO | $94.97 |
| Point32Health | Comm Tufts | $102 |
| United Healthcare | Comm UnitedHealthcare | $111 |
| Capital District Physicians' Health Plan | Comm CDPHP | $116 |
| Cigna | Comm Cigna Carelink | $116 |
Inpatient
$33.25cash price (self-pay)
$222list price
$19.77–$211range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point32Health | Comm Tufts QHPSUB (Network) | $126 |
| Point32Health | MCDManaged Tufts (Network) | $126 |
| Workers Comp | WC Workers Comp | $142 |
| Allways NHP | Comm NHP | $144 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $144 |
| United Healthcare | Comm United BH | $145 |
| Blue Cross | Comm Blue Cross VT PPO | $160 |
| Aetna | Comm Aetna | $168 |
| Point32Health | Comm Tufts | $176 |
| United Healthcare | Comm UnitedHealthcare | $191 |
| Capital District Physicians' Health Plan | Comm CDPHP | $200 |
| MVP | Comm MVP | $200 |
| Oxford | Comm Oxford | $200 |
| Connecticare | Comm Connecticare | $211 |
| Consolidated Health Plans | Comm Consolidated Health | $211 |
| First Health | Comm First Health | $211 |
| Point32Health | Comm Harvard | $211 |
| Other Commercial | Comm Other | $211 |
| PHCS | Comm PHCS | $211 |
| Self Pay | Comm Self Pay | $211 |
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