EKG tracing at CHI Health St. Elizabeth. CPT 93005.

What CHI Health St. Elizabeth publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$51.50cash price (self-pay)

$273list price

$11.55–$377range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|ACO	$11.55
Medica \| Commercial\|CHI Health	$11.64
Medica \| Commercial\|All Other Plans	$12.19
Amerigroup \| Medicaid\|All Plans	$48.38
Centene \| Medicaid\|IA Total Care	$48.38
IAMolina \| Medicaid\|All Plans	$49.33
BCBS - NE \| Medicare\|All Plans	$57.33
Great Plains \| Medicare\|All Plans	$57.33
Humana \| Medicare\|All Plans	$57.33
Medica \| Medicare\|All Plans	$57.33
United \| Medicare\|All Plans	$57.33
Centene \| Medicare\|All Plans	$59.05
Amerigroup \| Medicare\|All Plans	$60.20
United \| Medicaid\|Community Plan	$62.79
Centene \| Medicaid\|NE Total Care	$63.42
AMPS \| Commercial\|All Plans	$127
Greater Omaha Packing \| Commercial\|Narrow Network	$139
Millard Public Schools \| Commercial\|Narrow Network	$139
One World \| Commercial\|Narrow Network	$139
Creighton University Employees \| Commercial\|All Plans	$156
ELAP \| Commercial\|All Plans	$156
Greater Omaha Packing \| Commercial\|Broad Network	$158
Millard Public Schools \| Commercial\|Broad Network	$158
One World \| Commercial\|Broad Network	$158
Timpte \| Commercial\|Broad Network	$158
Medica \| Commercial\|Open Access	$169
Midlands Choice \| Commercial\|Premier	$169
United \| Commercial\|All Plans	$175
Midlands Choice \| Commercial\|Standard	$188
MultiPlan PHCS \| Commercial\|All Plans	$232

$51.50cash price (self-pay)

$273list price

$63.86–$354range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|Open Access	$169
Midlands Choice \| Commercial\|Premier	$169
MultiPlan PHCS \| Commercial\|All Plans	$218

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