EKG tracing at Good Samaritan University Hospital. CPT 93005.
What Good Samaritan University Hospital publishes for this service, straight from its standard-charges file, last updated February 19, 2026.
Outpatient / ER
—cash price (self-pay)
$501list price
$7.58–$501range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Affinity Health Plan | CHP | $7.58 |
| Affinity Health Plan | HARP | $7.58 |
| Affinity Health Plan | MEDICAID | $7.58 |
| Centerlight Healthcare | MEDICAID | $7.58 |
| Affinity Health Plan | EP 1&2 | $17.04 |
| Affinity Health Plan | EP 3&4 | $17.04 |
| BCBS-NY Empire | Blue Access Small Group | $24.40 |
| BCBS-NY Empire | Blue Access Large Group | $28.92 |
| BCBS-NY Empire | Commercial | $32.14 |
| BCBS-NY Empire | MA | $68.88 |
| Aetna | Medicare | $70.29 |
| Centerlight Healthcare | PACE | $70.29 |
| Centers Plan For Healthy Living | Medicare | $70.29 |
| Agewell New York | Medicare HMO | $72.75 |
| American Plan Administrators | Commercial | $158 |
| Amerihealth Administrators | Commercial | $158 |
| Benefit Services | Commercial | $158 |
| APWU | Commercial | $251 |
| Aetna | Commercial | $251 |
| Aetna | Narrow Network | $251 |
| Centivo | Commercial | $251 |
| Centivo | PPO Cigna Medical | $251 |
| Cigna | Commercial | $251 |
| Daniel H Cook | Associates | $251 |
| Allied Wellfare Fund | Commercial | $326 |
| American Group Administrators | Commercial | $326 |
| Bakery & Confectionery Union | Commercial | $326 |
| Brighton | Direct Plus | $326 |
| Brighton | LOCAL 3 MAGNA JIB | $326 |
| Cigna | Indemnity | $326 |
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