EKG tracing at CHI Health Plainview. CPT 93005.
What CHI Health Plainview publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$15.12cash price (self-pay)
$164list price
$10.98–$418range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $90.39 |
| BCBS - NE | Commercial|All Other Plans | $95.16 |
| BCBS - NE | Medicare|All Plans | $99.73 |
| Humana | Medicare|All Plans | $99.73 |
| Medica | Medicare|All Plans | $99.73 |
| PACE | Medicare|All Plans | $99.73 |
| United | Medicare|All Plans | $99.73 |
| Centene | Medicare|All Plans | $102 |
| Todays Options | Medicare|All Plans | $102 |
| Amerigroup | Medicare|All Plans | $105 |
| Great Plains | Medicare|All Plans | $105 |
| Centene | Medicaid|NE Total Care | $106 |
| United | Medicaid|Community Plan | $106 |
| IAMolina | Medicaid|All Plans | $111 |
| Medica | Commercial|All Other Plans | $149 |
| Medica | Commercial|CHI Health | $149 |
| United | Commercial|All Plans | $155 |
| Greater Omaha Packing | Commercial|Broad Network | $157 |
| Greater Omaha Packing | Commercial|Narrow Network | $157 |
| Medica | Commercial|ACO | $157 |
| Medica | Commercial|Open Access | $157 |
| Midlands Choice | Commercial|Premier | $157 |
| Midlands Choice | Commercial|Standard | $157 |
| Millard Public Schools | Commercial|Broad Network | $157 |
| Millard Public Schools | Commercial|Narrow Network | $157 |
| One World | Commercial|Broad Network | $157 |
| One World | Commercial|Narrow Network | $157 |
| QuikTrip | Commercial|All Plans | $157 |
| Timpte | Commercial|Broad Network | $157 |
| MultiPlan | Commercial|All Plans | $160 |
Inpatient
$15.12cash price (self-pay)
$164list price
$16.25–$303range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $148 |
| Medica | Commercial|All Other Plans | $149 |
| Medica | Commercial|CHI Health | $149 |
| BCBS - NE | Commercial|All Other Plans | $155 |
| United | Commercial|All Plans | $155 |
| Greater Omaha Packing | Commercial|Broad Network | $157 |
| Greater Omaha Packing | Commercial|Narrow Network | $157 |
| Medica | Commercial|ACO | $157 |
| Medica | Commercial|Open Access | $157 |
| Midlands Choice | Commercial|Premier | $157 |
| Midlands Choice | Commercial|Standard | $157 |
| Millard Public Schools | Commercial|Broad Network | $157 |
| Millard Public Schools | Commercial|Narrow Network | $157 |
| One World | Commercial|Broad Network | $157 |
| One World | Commercial|Narrow Network | $157 |
| QuikTrip | Commercial|All Plans | $157 |
| Timpte | Commercial|Broad Network | $157 |
| MultiPlan | Commercial|All Plans | $160 |
| PHCS | Commercial|All Plans | $160 |
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