EKG tracing at Champlain Valley Physicians Hospital. CPT 93005.
What Champlain Valley Physicians Hospital publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$134cash price (self-pay)
$134list price
$4.03–$345range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Managed Medicaid/Essential Plans | $4.03 |
| MVP | Essential Plans | $4.90 |
| MVP | Managed Medicaid | $4.90 |
| Capital District Physicians' Health Plan | Essential Plans | $5.76 |
| Capital District Physicians' Health Plan | Managed Medicaid | $5.76 |
| Empire BlueCross BlueShield | Managed Medicaid Aliessa | $5.76 |
| Fidelis Care | Managed Medicaid | $5.76 |
| Fidelis Care | Essential Plans | $6.05 |
| Empire BlueCross BlueShield | Blue Access | $6.19 |
| Empire BlueCross BlueShield | HMO | $6.56 |
| Empire BlueCross BlueShield | Essential Plans/Managed Medicaid | $6.91 |
| Empire BlueCross BlueShield | IND | $6.92 |
| Empire BlueCross BlueShield | PPO | $7.29 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $10.65 |
| MVP | Commercial | $17.72 |
| Excellus BlueCross BlueShield | Medicare Advantage | $37.19 |
| Humana Military | TRICARE | $37.36 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $37.37 |
| Aetna | Medicare Advantage | $39.17 |
| Capital District Physicians' Health Plan | Medicare Advantage | $39.17 |
| Empire BlueCross BlueShield | Medicare Advantage | $39.17 |
| Fidelis Care | Medicare Advantage | $39.17 |
| United Healthcare | Medicare Advantage | $39.17 |
| Veterans Affairs Community Care Network | Veterans Administration | $39.17 |
| MVP | Medicare Advantage | $39.23 |
| Martins Point | TRICARE Prime/Department of Defense | $41.75 |
| Wellpath | FCI Ray Brook | $58.47 |
| Aetna | Commercial | $62.55 |
| Empire BlueCross BlueShield | Individual Network | $62.67 |
| Highmark BlueShield | IND/FEP | $63.71 |
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