EKG tracing at HSS West Side Outpatient Center. CPT 93005.
What HSS West Side Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$515cash price (self-pay)
$657list price
$6.22–$499range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis | Essential Plans 3,4 | $6.22 |
| Fidelis | Medicaid Managed Care | $6.22 |
| Fidelis | Essential Plans 1,2 | $7.46 |
| Emblem | Medicare Managed Care | $8.29 |
| UHC | Medicare Managed Care | $8.29 |
| Emblem | City of NY Plans | $14.51 |
| Emblem | Commercial | $14.51 |
| CIGNA | Commercial | $15.29 |
| Anthem NY | Exchange | $19.02 |
| NYSHIP | Commercial | $19.37 |
| Horizon | Commercial | $22.37 |
| Anthem NY | Commercial | $22.38 |
| UHC | Commercial | $24.69 |
| Aetna | Commercial | $47.27 |
| Metro Plus | Essential Plans 3,4 | $219 |
| Metro Plus | Essential Plans 1,2 | $219 |
| Metro Plus | Medicaid Managed Care | $219 |
| Trustmark - Aetna [1342] | Trustmark - Aetna [134200] | $241 |
| Aetna [1003] | Aetna Select Choice [100304] | $241 |
| Nippon Life [1092] | Nippon Life [109200] | $241 |
| Aetna [1003] | Aetna EPO [100305] | $241 |
| Aetna [1003] | Aetna International [100301] | $241 |
| Aetna [1003] | Aetna Indemnity [100302] | $241 |
| Aetna [1003] | Aetna PPO [100309] | $241 |
| Blue Cross Blue Shield Nj [1023] | BCBS Nj PPO [102302] | $329 |
| Blue Cross Blue Shield NY [1022] | BCBS NYC Healthline [102208] | $329 |
| Oxford [1096] | Oxford Healthy Start [109603] | $333 |
| Oxford [1096] | Oxford [109600] | $333 |
| Oxford [1096] | Oxford Liberty [109604] | $333 |
| Blue Cross Blue Shield NY [1022] | BCBS Blue Access [102216] | $338 |
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