EKG tracing at CHI Health St. Mary's. CPT 93005.
What CHI Health St. Mary's publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$15.77cash price (self-pay)
$320list price
$4.07–$346range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid|All Plans | $68.55 |
| IAMolina | Medicaid|All Plans | $69.89 |
| BCBS - NE | Medicare|All Plans | $128 |
| Humana | Medicare|All Plans | $128 |
| Medica | Medicare|All Plans | $128 |
| PACE | Medicare|All Plans | $128 |
| United | Medicare|All Plans | $128 |
| Centene | Medicare|All Plans | $131 |
| Centene | Medicaid|NE Total Care | $131 |
| United | Medicaid|Community Plan | $131 |
| Amerigroup | Medicare|All Plans | $134 |
| Great Plains | Medicare|All Plans | $134 |
| BCBS - NE | Commercial|BluePrint | $164 |
| BCBS - NE | Commercial|All Other Plans | $172 |
| AMPS | Commercial|All Plans | $284 |
| Medica | Commercial|All Other Plans | $291 |
| Medica | Commercial|CHI Health | $291 |
| MultiPlan PHCS | Commercial|All Plans | $304 |
| Greater Omaha Packing | Commercial|Broad Network | $307 |
| Greater Omaha Packing | Commercial|Narrow Network | $307 |
| Medica | Commercial|ACO | $307 |
| Medica | Commercial|Open Access | $307 |
| Midlands Choice | Commercial|Premier | $307 |
| Midlands Choice | Commercial|Standard | $307 |
| Millard Public Schools | Commercial|Broad Network | $307 |
| Millard Public Schools | Commercial|Narrow Network | $307 |
| One World | Commercial|Broad Network | $307 |
| One World | Commercial|Narrow Network | $307 |
| Timpte | Commercial|Broad Network | $307 |
| United | Commercial|All Plans | $307 |
Inpatient
$15.77cash price (self-pay)
$320list price
$17.15–$346range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $289 |
| Medica | Commercial|All Other Plans | $291 |
| Medica | Commercial|CHI Health | $291 |
| BCBS - NE | Commercial|All Other Plans | $304 |
| MultiPlan PHCS | Commercial|All Plans | $304 |
| Greater Omaha Packing | Commercial|Broad Network | $307 |
| Greater Omaha Packing | Commercial|Narrow Network | $307 |
| Medica | Commercial|ACO | $307 |
| Medica | Commercial|Open Access | $307 |
| Midlands Choice | Commercial|Premier | $307 |
| Midlands Choice | Commercial|Standard | $307 |
| Millard Public Schools | Commercial|Broad Network | $307 |
| Millard Public Schools | Commercial|Narrow Network | $307 |
| One World | Commercial|Broad Network | $307 |
| One World | Commercial|Narrow Network | $307 |
| Timpte | Commercial|Broad Network | $307 |
| United | Commercial|All Plans | $307 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.