EKG tracing at Mount St. Mary's Hospital. CPT 93005.
What Mount St. Mary's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$133cash price (self-pay)
$143list price
$4.61–$143range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicare [450116] | Senior Blue Select [45011604] | $69.85 |
| BCBS Medicare [450116] | Senior Blue Bluesaver [45011603] | $69.85 |
| Medicare [400001] | Medicare Part A [40000102] | $73.64 |
| Medicare HMO Other [450117] | Medicare HMO Other [45011701] | $73.64 |
| Seneca Nation [450119] | Seneca Nation [45011901] | $73.64 |
| Va Veterans Affairs [700001] | Va Batavia [70000104] | $73.64 |
| Medicare HMO Other [450117] | Complete Senior Care [45011704] | $73.64 |
| Covid19 Hrsa [45013] | Covid19 Hrsa [4501301] | $73.64 |
| Fallon Health [450115] | Fallon Health [45011501] | $73.64 |
| Medicare Covid Vac Alt [40000101] | Medicare Covid Vac Alt [4000010102 | $73.64 |
| Medicare HMO Other [450117] | Centers Plan For Healthy Living [4501170 | $73.64 |
| Medicare Alternate Payor [888] | Medicare Part B Alternate [88801] | $73.64 |
| Va Veterans Affairs [700001] | Va Ccn Optum [70000103] | $73.64 |
| Va Veterans Affairs [700001] | Va [70000101] | $73.64 |
| Wellcare Fidelis Dual [450451] | Wellcare Fidelis Dual Access [4504510 | $76.22 |
| WELLCARE FIDELIS DUAL [450451] | Wellcare Fidelis Dual Align [45045104 | $76.22 |
| Fidelis Medicare [450121] | Fidelis Medicare Advantage [45012101] | $76.22 |
| Fidelis Dual Advantage [450120] | Fidelis Dual Advantage [45012001] | $76.22 |
| Wellcare Fidelis Dual [450451] | Wellcare Fidelis Dual Plus [45045101] | $76.22 |
| Fidelis Dual Advantage [450120] | Fidelis Dual Adv Flex [45012002] | $76.22 |
| Kalos Medicare [450126] | Kalos Medicare Advantage [45012601] | $76.58 |
| Humana Medicare [450130] | Humana Medicare HMO/POS [45013001] | $77.32 |
| Aetna Medicare HMO [450112] | Aetna Medicare HMO [45011201] | $77.32 |
| United Healthcare Medicare [450021] | UHC Care Improvement Plus [45002 | $77.78 |
| United Healthcare Medicare [450021] | UHC Dual Complete [45002101] | $77.78 |
| United Healthcare Medicare [450021] | UHC Medicare Advantage [45002107 | $77.78 |
| BCBS Medicare [450116] | Federal Bc Over 65 [45011602] | $79.72 |
| BCBS Medicare [450116] | Senior Blue [45011606] | $79.72 |
| BCBS Medicare [450116] | Medicare PPO B/C [45011601] | $79.72 |
| Univera Healthcare [100169] | Univera Access [10016908] | $88.15 |
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