EKG tracing at Calais Community Hospital. CPT 93005.
What Calais Community Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$108cash price (self-pay)
$144list price
$25.00–$132range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicare Advantage | $25.00 |
| United Healthcare | Medicare Advantage | $25.00 |
| Humana | Commercial | $60.00 |
| Martins Point Generation | Commercial | $60.00 |
| Wellcare | HMO | $60.00 |
| Partners Direct Health | Commercial | $84.00 |
| Anthem | Commercial | $118 |
| Aetna | Commercial | $124 |
| United Healthcare | PPO | $127 |
| Cigna | Commercial | $131 |
| Harvard Pilgrim | Commercial | $132 |
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