EKG tracing at HealthAlliance-Clinton, Leominster Campus. CPT 93005.
What HealthAlliance-Clinton, Leominster Campus publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$176cash price (self-pay)
$176list price
$57.85–$294range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WORKERS COMPENSATION [20501] | All WORKERS COMP HA [42] Plans | $57.85 |
| UHC MEDICAID [11130] | All UHC RHODY PARTNERS [271] Plans | $59.66 |
| CHAMPVA [11001] | All TRICARE / CHAMPVA HA [167] Plans | $63.49 |
| TUFTS US FAMILY [11203] | All TUFTS US FAMILY HA [291] Plans | $71.57 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE STATE HA [95] Plans | $71.57 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE FORT DEVENS HA [162] | $71.57 |
| INSTITUTION [10406] | All HOSPICE GENERIC [237] Plans | $71.57 |
| CIGNA MCR [10121] | All MEDICARE ADVANTAGE (MINUS IME) HA [134] Plans | $71.57 |
| INSTITUTION [10406] | All HOSPICE HA [157] Plans | $71.57 |
| MEDICAID [20301] | All MEDICAID OF CT [28] Plans | $71.57 |
| MEDICARE [20206] | All MEDICARE/ MEDICARE ADV PLANS/ INST HA [98] Plan | $71.57 |
| BCBS MCR [10102] | All BC MCR HA [66] Plans | $73.95 |
| COMMONWEALTH CARE MCR [10115] | All ONE CARE HA [224] Plans | $75.15 |
| AETNA MCR [10101] | All MEDICARE ADV AT 105% HA [244] Plans | $75.15 |
| TUFTS MCR [10112] | All TUFTS MCR HA [249] Plans | $75.15 |
| FALLON MCR SUPP [20202] | All FALLON SENIOR HA [112] Plans | $75.15 |
| HARVARD PILGRIM MCR [10106] | All HARVARD PILGRIM MCR HA [143] Plans | $75.15 |
| SENIOR WHOLE HEALTH [10110] | All SENIOR WHOLE HEALTH HA [131] Plans | $76.58 |
| MEDICAID [20301] | All MEDICAID OF MAINE [283] Plans | $91.52 |
| INSTITUTION [10406] | All FAIRLAWN REHAB [281] Plans | $93.28 |
| UHC [11111] | All UHC HA [125] Plans | $94.51 |
| UHC [11111] | All UHC SUREST HA [323] Plans | $94.51 |
| HNE [11108] | All HEALTH NEW ENGLAND HA [87] Plans | $98.19 |
| BCBS [10301] | All BC PPO HA [58] Plans | $102 |
| BCBS [10301] | All BC HMO HA [61] Plans | $103 |
| AETNA [11101] | All AETNA HA [147] Plans | $115 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM HMO HA [119] Plans | $116 |
| TUFTS [11201] | All TUFTS HMO HA [173] Plans | $128 |
| FIRST HEALTH NETWORK [11120] | All COVENTRY (FIRST HEALTH) [83] Plans | $132 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM PPO HA [120] Plans | $134 |
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All common services at HealthAlliance-Clinton, Leominster Campus