EKG tracing at Health Alliance Mary Avenue Hospital. CPT 93005.
What Health Alliance Mary Avenue Hospital publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$158cash price (self-pay)
$158list price
$31.16–$764range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mvp HMO/PPO | Mvp HMO/PPO | $31.16 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $57.17 |
| Aetna Medicare | Aetna Medicare | $73.28 |
| Beacon Medicare | Beacon Medicare | $73.28 |
| Blue Cross Medicare | Blue Cross Medicare | $73.28 |
| Cdphp Medicare | Cdphp Medicare | $73.28 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $73.28 |
| Medicare Managed 100% Hahv | Medicare Managed 100 Hahv | $73.28 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $73.28 |
| Todays Options Medicare | Todays Options Medicare | $73.28 |
| Medicare | Medicare | $73.64 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $74.75 |
| Blue Cross Commercial/Healthy NY | Blue Cross Commercial/Healthy NY | $76.23 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $76.94 |
| Todays Options | Todays Options | $80.61 |
| Self-Pay | Self-Pay | $83.57 |
| Beacon Exchange | Beacon Exchange | $87.94 |
| Aetna Hp Network | Aetna Hp Network | $93.22 |
| Beacon Commercial | Beacon Commercial | $95.26 |
| Blue Cross Access | Blue Cross Access | $96.38 |
| Aetna | Aetna | $103 |
| Aetna Employee | Aetna Employee | $103 |
| Mvp Exchange | Mvp Exchange | $103 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $107 |
| Blue Cross Small Group | Blue Cross Small Group | $109 |
| VALUE OPTIONS (Non-HMO) | VALUE OPTIONS (Non-HMO) | $110 |
| Cdphp | Cdphp | $111 |
| First Health | First Health | $111 |
| Magnacare Standard | Magnacare Standard | $111 |
| Emblem Ghi/Hip PPO/Cbp | Emblem Ghi/Hip PPO/Cbp | $114 |
Inpatient
$158cash price (self-pay)
$158list price
$111–$158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnacare Standard | Magnacare Standard | $111 |
| Multiplan | Multiplan | $130 |
| Blue Shield - Health Now | Blue Shield - Health Now | $150 |
| Medigap | Medigap | $158 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $158 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.