EKG tracing at Frederick Ferris Thompson Hospital. CPT 93005.
What Frederick Ferris Thompson Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$95.00cash price (self-pay)
$193list price
$4.61–$203range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Medicaid 170801, Fidelis | $5.48 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901,Se | $5.66 |
| Highmark Blue Cross Blue Shield Of Western NY Medicare 1301 | Highmark | $5.76 |
| Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Essential (No Medicaid) | $5.76 |
| Aetna Medicare 1300, Aetna 2700 | Aetna Medicare 130001, Aetna Senior | $6.08 |
| Excellus Blue Cross Blue Shield 2201 | Excellus Metal Tiers 220102, Un | $6.08 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601, Blue Medicare | $6.08 |
| Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Blue Ch | $6.10 |
| Medicare Blue Choice 1306 | Univera Senior Choice Medicare 130603 | $6.20 |
| Mvp Medicaid 1712, Mvp 2900 | Mvp Option Medicaid 171201, Mvp Essentia | $6.31 |
| Lifetime Benefit Solutions 2200,Excellus Blue Cross Blue Shield 2201,O | $6.86 |
| Aetna 2700 | Aetna Chickering 270001,Aetna 270002,Aetna Ur 270003,Aetn | $7.30 |
| Fidelis 5155 | Fidelis Metal Tiers 515501 | $7.58 |
| Excellus Blue Cross Blue Shield Medicaid 1706 | Blue Choice Option Med | $7.58 |
| Excellus Blue Cross Blue Shield Medicaid 1706 | Excellus Essential 3-4 | $7.58 |
| Fidelis Medicaid 1708 | Fidelis Medicaid 170801, Fidelis Child Health | $7.58 |
| Highmark Blue Cross Blue Shield Medicaid 1702 | Highmark BCBS Medicaid | $7.58 |
| Highmark Blue Cross Blue Shield Medicaid 5143 | Highmark BCBS Essentia | $7.58 |
| Independent Health Assoc Medicaid 1710 | Independent Health Medicaid 1 | $7.58 |
| Mvp 2900 | Mvp Premier Individual 290002, Mvp Premier Group 290003 | $7.71 |
| Mvp Medicare 1307, Mvp Medicare Dual Access Dsnp 1321 | Mvp Medicare 1 | $7.72 |
| Blue Cross Blue Shield Of Western NY 5143, Out Of Area Blue Cross Blue | $7.81 |
| Empire Plan 5179, Empire Plan UHC 5180 | Empire Plan 517901, Empire Pl | $8.16 |
| Highmark Blue Cross Blue Shield 5143 | Highmark BCBS 514301 | $8.53 |
| Independent Health 5156 | Independent Health (Buffalo NY) 515601,Nova | $9.11 |
| Amerigroup (Blue Cross Blue Shield Wny Alternate) 1720 | Amerigroup (B | $9.20 |
| Umr 5142,United Healthcare 5158, Pomco Ins Co 5157 | Umr 514201,United | $9.38 |
| Mvp 2900, Cigna 5144 | Mvp Commercial Non PPO Fully Insured 290001, Mv | $10.64 |
| Fidelis Medicaid 1708 | Fidelis Essential 3-4 170804, Fidelis Essentia | $17.04 |
| Cdphp Medicare 1320 | Cdphp Medicare 132001 | $43.12 |
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