EKG tracing at Saint Luke’s North Hospital – Smithville. CPT 93005.
What Saint Luke’s North Hospital – Smithville publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$573cash price (self-pay)
$15,491list price
$15.17–$24,575range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Managed Care (Ks) [2252] | Sunflower Behavioral Health [22503 | $15.17 |
| Medicaid Managed Care (Ks) [2252] | UHC Community Plan Of Ks [22508] | $20.86 |
| Medicaid Managed Care (Ks) [2252] | Healthy Blue Kansas [22577] | $21.69 |
| Medicaid Managed Care (Ks) [2252] | Zzzaetna Better Health Of Kansas [ | $21.69 |
| Medicaid Managed Care (Ks) [2252] | Sunflower State Health [22505] | $22.95 |
| Medicaid Managed Care (Mo) [2250] | Home State Health Plan [22506] | $65.82 |
| Medicaid Managed Care (Mo) [2250] | UHC Community Plan Of Mo [22517] | $66.33 |
| Medicaid Managed Care (Mo) [2250] | Healthy Blue Missouri [22572] | $82.02 |
| United Healthcare [3000] | Zzzuhc Slhs Umr Choice Plus [30021] | $170 |
| Commercial-Contracted [8000] | Medica Exchange [80075] | $218 |
| United Healthcare [3000] | UHC [30008] | $260 |
| United Healthcare [3000] | UHC Choice Plus PPO Allsavers [30005] | $260 |
| United Healthcare [3000] | UHC Choice Plus PPO Umr [30002] | $260 |
| United Healthcare [3000] | UHC Geha [30015] | $260 |
| United Healthcare [3000] | UHC Golden Rule [30001] | $260 |
| United Healthcare [3000] | UHC Indemnity [30007] | $260 |
| United Healthcare [3000] | UHC Leased [30010] | $260 |
| United Healthcare [3000] | UHC Navigate [30013] | $260 |
| United Healthcare [3000] | UHC Oxford Select [30000] | $260 |
| United Healthcare [3000] | UHC Shared Services [30014] | $260 |
| United Healthcare [3000] | UHC Student Resources [30016] | $260 |
| United Healthcare [3000] | UHC Surest [30017] | $260 |
| Cigna [7000] | Cigna [70002] | $288 |
| Cigna [7000] | Cigna Healthpartners [70012] | $288 |
| Cigna [7000] | Cigna Leased Open Access [70008] | $288 |
| Cigna [7000] | Greatwest Cigna Open Access Plus [70005] | $288 |
| Cigna [7000] | Zzzcigna Bjc [70010] | $1,800 |
| Cigna [7000] | Cigna Connect EPO Exchange [70015] | $2,340 |
| Blue Cross Blue Shield [4000] | Bc Kc Ucm Kcmo Blue Select Plus [40029 | $2,969 |
| Blue Cross Blue Shield [4000] | Bc Kc Hpn [40033] | $3,078 |
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All common services at Saint Luke’s North Hospital – Smithville