EKG tracing at Jones Memorial Hospital. CPT 93005.
What Jones Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$5.96cash price (self-pay)
$225list price
$4.25–$193range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Univera | $4.62 |
| Independent Health 5156 | Independent Health (Buffalo NY) 515601, Nova | $6.07 |
| 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 |
| Mvp Medicaid 1712, Mvp 2900 | Mvp Option Medicaid 171201, Mvp Essentia | $6.31 |
| Medicare Blue Choice 1306 | Univera Senior Choice Medicare 130603 | $6.45 |
| Amerigroup (Blue Cross Blue Shield Wny Alternate) 1720 | Amerigroup (B | $7.58 |
| Fidelis Medicaid 1708 | Fidelis Medicaid 170801, Fidelis Child Health | $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 |
| Fidelis 5155 | Fidelis Metal Tiers 515501 | $7.79 |
| Lifetime Benefit Solutions 2200, Excellus Blue Cross Blue Shield 2201, | $7.87 |
| Excellus Blue Cross Blue Shield 2201 | Univera 220104 | $8.12 |
| Empire Plan 5179, Empire Plan UHC 5180 | Empire Plan 517901, Empire Pl | $8.16 |
| Molina Healthcare 1723 | Molina Medicaid 172301, Molina Child Health | $8.33 |
| Mvp 2900, Cigna 5144 | Mvp Commercial Non PPO Fully Insured 290001, Mv | $10.64 |
| Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Blue Ch | $11.49 |
| Highmark Blue Cross Blue Shield Medicaid 1702 | Highmark BCBS Medicaid | $15.55 |
| Fidelis Medicaid 1708 | Fidelis Essential 3-4 170804, Fidelis Essentia | $17.04 |
| Molina Healthcare 1723 | Molina Essential 3-4 172302, Molina Essential | $17.04 |
| Cdphp Medicare 1320 | Cdphp Medicare 132001 | $45.95 |
| Upmc Health Plan 5138 | Upmc Health Plan 513801 | $59.15 |
| Excellus Blue Cross Blue Shield 2201, Out Area Blue Cross Blue Shield, | $78.87 |
| Fidelis Medicare 1311 | Fidelis Medicare 131101 | $78.87 |
| Humana Medicare 1312 | Humana Medicare 131201 | $78.87 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901 | $78.87 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601 | $78.87 |
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