EKG tracing at Henry Ford Jackson Hospital. CPT 93005.
What Henry Ford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
—cash price (self-pay)
$235list price
$5.41–$212range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military | Tricare | $5.41 |
| HAP | Commercial | $10.40 |
| Aetna | Commercial | $18.88 |
| Priority Health | Commercial | $30.43 |
| Blue Cross | Blue Cross Complete | $31.52 |
| HAP | HAP Caresource Medicaid | $31.52 |
| McLaren | Medicaid HMO | $31.52 |
| Meridian | Medicaid HMO | $31.52 |
| Priority Health | Medicaid HMO | $31.52 |
| Aetna Better Health | Medicaid HMO | $33.10 |
| Molina | Medicaid HMO | $33.35 |
| Bcn | HMO | $39.33 |
| Blue Cross | BCN Commercial | $39.33 |
| Blue Cross | BCBSM Commercial | $39.33 |
| Veterans Evaluation Services | All Products | $52.59 |
| Aetna | Medicare Advantage | $59.05 |
| Blue Cross | Medicare Plus Blue | $59.05 |
| Blue Cross | BCN Advantage | $59.05 |
| Cascade Thome Pace | All Products | $59.05 |
| Humana | Medicare Advantage | $59.05 |
| McLaren | Medicare Advantage | $59.05 |
| Molina | Dual MI Coordinated Health | $59.05 |
| Priority Health | Dual Premier_HIDE-SNP | $59.05 |
| Priority Health | Medicare Advantage | $59.05 |
| United Healthcare | VACCN | $59.05 |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $59.05 |
| HAP | HAP Dual Products | $59.64 |
| HAP | Medicare Advantage | $59.64 |
| Meridian | Ambetter From Meridian | $64.96 |
| HAP | Henry Ford Select -HPN commercial | $70.86 |
Inpatient
—cash price (self-pay)
$235list price
$118–$212range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Commercial | $173 |
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