EKG tracing at Good Samaritan Hospital. CPT 93005.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
$774cash price (self-pay)
$774list price
$21.49–$943range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $21.49 |
| Emblem Ghi/Hip PPO | Emblem Ghi/Hip PPO | $25.25 |
| Mvp Exchange | Mvp Exchange | $26.60 |
| Emblem Ghi/Hip HMO/EPO/POS | Emblem Ghi/Hip HMO/EPO/POS | $26.82 |
| Mvp HMO/PPO | Mvp HMO/PPO | $51.73 |
| Beacon Medicare | Beacon Medicare | $73.28 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $73.28 |
| Medicare Managed | Medicare Managed | $73.28 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $73.28 |
| Tricare | Tricare | $73.64 |
| Medicare | Medicare | $73.64 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $74.75 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $75.53 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $76.94 |
| Health First Medicare | Health First Medicare | $78.41 |
| Self-Pay | Self-Pay | $83.57 |
| Beacon Exchange | Beacon Exchange | $87.94 |
| Blue Cross Small Group | Blue Cross Small Group | $90.69 |
| Blue Cross HMO | Blue Cross HMO | $93.20 |
| Beacon Commercial | Beacon Commercial | $95.26 |
| Geisinger Health Commercial/Exchange | Geisinger Health Commercial/Exc | $242 |
| Aetna HP Network | Aetna HP Network | $348 |
| Aetna | Aetna | $387 |
| Aetna Employee | Aetna Employee | $387 |
| Cdphp | Cdphp | $387 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $387 |
| Blue Cross Access | Blue Cross Access | $526 |
| Cigna PPO | Cigna PPO | $542 |
| Magnacare Standard | Magnacare Standard | $542 |
| Oxford Commercial | Oxford Commercial | $546 |
Inpatient
$774cash price (self-pay)
$774list price
$387–$542range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cdphp | Cdphp | $387 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $387 |
| Magnacare Standard | Magnacare Standard | $542 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.