EKG tracing at Henry Ford Providence Southfield Hospital. CPT 93005.

What Henry Ford Providence Southfield Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$80.08cash price (self-pay)

$143list price

$11.91–$841range insurers pay

Insurance plan	Negotiated rate
Hap Alliance Health \| 1212_sjpk,Sjpr Ahlic 20241001	$11.91
Hap HMO POS \| 1217_sjpk,Sjpr Hap HMO 20241001	$11.91
Aetna \| 1203_sjpk,Sjpr Aetna PPO 20241001	$12.29
Hap Preferred \| 1210_sjpk,Sjpr Hap Preferred 20241001	$14.04
Jvhl - Medicaid Replacement \| 1245_sjpk,Sjpr Medicaid Replacement HMO	$29.42
Molina Health \| 1081_sjpk,Sjpr Medicaid Replacement Molina Health Inpa	$29.42
Health Plan Of Mi Medicaid HMO \| 1083_sjpk,Sjpr Meridian Health Inpati	$29.42
Jvhl - Medicaid Replacement \| 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie	$29.42
Blue Caid Michigan \| 1266_sjpk,Sjpr Medicaid Replacement Blue Caid Of	$33.76
Great Lakes- UHC Community Plan \| 1247_sjpk,Sjpr Medicaid Replacement	$33.76
Harbor Health Mcd \| 1243_sjpr Medicaid Repleacement Harbor Health Outp	$33.76
Health Plan Of Mi Medicaid HMO \| 1262_sjpk,Sjpr Medicaid Replacement M	$33.76
Medicaid \| 1263_sjpk,Sjpr Mi Medicaid Outpatient 20250101	$33.76
Medicaid Replacement \| 1242_sjpr Medicaid HMO Outpatient 20250101	$33.76
Molina Health \| 1264_sjpk,Sjpr Medicaid Replacement Molina Health Outp	$33.76
Omnicare Medicaid HMO \| 1244_sjpr Medicaid Repleacement Omnicare Outpa	$33.76
Total Health Care \| 1246_sjpk,Sjpr Medicaid Replacement Total Health C	$33.76
Amerihealth Vip Care Mcr \| 1254_sjpk,Sjpr Medicare Advantage Ameriheal	$50.05
Aetna Medicare \| 1255_sjpk,Sjpr Medicare Advantage Aetna Outpatient 20	$58.20
Auto Insurance \| 1257_sjpk,Sjpr Auto Insurance Outpatient 20250101	$58.20
Jvhl - Mcr Replacement \| 1251_sjpk,Sjpr Medicare Advantage Jvhl Outpat	$58.20
Mcr Replacement \| 1253_sjpk,Sjpr Medicare Advantage HMO Outpatient 202	$58.20
Veterans Choice \| 1256_va Optum Health Outpatient 20250101	$58.20
Humana Mcr \| 1252_sjpk,Sjpr Medicare Advantage Humana Outpatient 20250	$58.78
Meridian Wellcare \| 1250_sjpk,Sjpr Medicare Advantage Meridian Wellcar	$61.11
Molina Advantage \| 1249_sjpk,Sjpr Medicare Advantage Molina Outpatient	$61.11
Meridian Ambetter \| 1258_sjpk,Sjpr Meridian Ambetter Outpatient 202501	$72.75
Molina Marketplace \| 1259_sjpk,Sjpr Molina Marketplace Outpatient 2025	$72.75
Smart Health \| 1261_sjpk,Sjpr Smart Health Outpatient 20250101	$80.32
Bc Metro Detroit EPO \| 1127_sjpr Blue Cross Blue Shield Metro Detroit	$841

Inpatient

—cash price (self-pay)

—list price

$33.76–$80.32range insurers pay

Insurance plan	Negotiated rate
Amerihealth Vip Care Mcr \| 1174_sjpk,Sjpr Medicare Advantage Ameriheal	$57.62
Aetna Medicare \| 1171_sjpk,Sjpr Medicare Advantage Aetna Inpatient 202	$58.20
Auto Insurance \| 1219_sjpk,Sjpr Auto Insurance Inpatient 20241001	$58.20
Health Plan Of Mi Medicaid HMO \| 1083_sjpk,Sjpr Meridian Health Inpati	$58.20
Jvhl - Mcr Replacement \| 1180_sjpk,Sjpr Medicare Advantage Jvhl Inpati	$58.20
Jvhl - Medicaid Replacement \| 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie	$58.20
Mcr Replacement \| 1183_sjpk,Sjpr Medicare Advantage HMO Inpatient 2024	$58.20
Veterans Choice \| 1230_va Optum Health Inpatient 20241001	$58.20
Humana Mcr \| 1177_sjpk,Sjpr Medicare Advantage Humana Inpatient 202410	$58.78
Meridian Wellcare \| 1189_sjpk,Sjpr Medicare Advantage Meridian Wellcar	$61.11
Molina Advantage \| 1192_sjpk,Sjpr Medicare Advantage Molina Inpatient	$61.11
Meridian Ambetter \| 1221_sjpk,Sjpr Meridian Ambetter Inpatient 2024100	$72.75
Molina Marketplace \| 1223_sjpk,Sjpr Molina Marketplace Inpatient 20241	$72.75
Smart Health \| 1227_sjpk,Sjpr Smart Health Inpatient 20241001	$80.32

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All common services at Henry Ford Providence Southfield Hospital