EKG tracing at Lewis County General Hospital. CPT 93005.
What Lewis County General Hospital publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$59.20cash price (self-pay)
$72.00list price
$12.60–$285range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicaid | $12.60 |
| EXCELLUS | Medicaid | $12.60 |
| FIDELIS | Medicaid | $12.60 |
| MVP | Medicaid | $12.60 |
| United Healthcare | Medicaid | $12.60 |
| Mvp | Commercial | $12.78 |
| Aetna | Medicare | $18.00 |
| Cdphp | Medicare | $18.00 |
| Excellus | Medicare | $18.00 |
| Fidelis | Medicare | $18.00 |
| Humana | Medicare | $18.00 |
| Tricare | Commercial | $18.00 |
| Martins Point | Commercial | $18.00 |
| Mvp | Medicare | $18.00 |
| United Healthcare | Medicare | $18.00 |
| Wellcare | Medicare | $18.00 |
| Ghi/Emblem Health | Commercial | $23.40 |
| Aetna | Commercial | $31.50 |
| Excellus | Commercial | $44.96 |
| Empire | Commercial | $44.96 |
| Cdphp | Commercial | $46.80 |
| United HealthCare | COMMERCIAL | $54.00 |
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