EKG tracing at Rock County Hospital. CPT 93005.
What Rock County Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$306cash price (self-pay)
$322list price
$15.00–$312range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | PPO | $15.00 |
| Oscar | HMO | $15.00 |
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $116 |
| Blue Cross Blue Shield of Nebraska | PPO | $165 |
| Blue Cross Blue Shield of Nebraska | Commercial | $177 |
| Molina | Commercial | $203 |
| Molina | Medicare Advantage | $203 |
| United Healthcare | Commercial | $286 |
| Nebraska Total Care | Commercial | $290 |
| Integrated Health Plan | PPO | $306 |
| Interplan Health Group | Commercial | $306 |
| Coventry Health Care | Commercial | $309 |
| First Health | Commercial | $309 |
| Medica | Commercial | $309 |
| Mutually Preferred | Commercial | $309 |
| MultiPlan | PPO | $312 |
| PPO Next | PPO | $312 |
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