EKG tracing at Plaistow Emergency Room. CPT 93005.
What Plaistow Emergency Room publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$828cash price (self-pay)
$828list price
$25.59–$787range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $25.59 |
| Well Sense Health Plan | MCD | $62.03 |
| Harvard Pilgrim | INDIVIDUAL | $159 |
| United | FreedomBenefitPlans | $174 |
| Harvard Pilgrim | ELEVATE | $175 |
| Harvard Pilgrim | HMO | $199 |
| Harvard Pilgrim | POS | $199 |
| Maine Community Health | Individual | $259 |
| Maine Community Health | SmallGroup | $259 |
| Cigna | HMO | $301 |
| United | AllPayerAppendix | $348 |
| Cigna | PPO | $349 |
| Anthem | INDEMNITY | $362 |
| Harvard Pilgrim | PPO | $373 |
| Maine Community Health | LargeGroup | $439 |
| Tufts Health Plan | POS | $474 |
| Tufts Health Plan | HMO | $488 |
| Tufts Health Plan | PPO | $488 |
| Aetna | HMO | $493 |
| United | OptionsPPO | $503 |
| Aetna | EPO | $553 |
| Aetna | POS | $553 |
| Aetna | PPO | $553 |
| MVP Health Plan | COMM | $580 |
| CorVel | WorkersComp | $596 |
| EverNorth | COMM | $663 |
| Healthcare Value Mgmt | COMM | $696 |
| First Health | PPO | $704 |
| Oxford Health Plans | COMM | $787 |
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