EKG tracing at Port Jervis Community Hospital. CPT 93005.
What Port Jervis Community Hospital publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
$774cash price (self-pay)
$774list price
$19.38–$943range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $19.38 |
| Emblem Ghi/Hip PPO | Emblem Ghi/Hip PPO | $22.77 |
| Mvp Exchange | Mvp Exchange | $26.60 |
| Emblem Ghi/Hip HMO/EPO/POS | Emblem Ghi/Hip HMO/EPO/POS | $26.82 |
| Mvp HMO/PPO | Mvp HMO/PPO | $51.73 |
| Beacon Medicare | Beacon Medicare | $73.28 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $73.28 |
| MEDICARE MANAGED 100 Percent BSC | MEDICARE MANAGED 100 Percent BSC | $73.28 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $73.28 |
| Tricare | Tricare | $73.64 |
| Medicare | Medicare | $73.64 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $74.75 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $76.94 |
| Health First Medicare | Health First Medicare | $78.41 |
| Self-Pay | Self-Pay | $83.57 |
| Beacon Exchange | Beacon Exchange | $87.94 |
| Blue Cross Small Group | Blue Cross Small Group | $90.69 |
| Blue Cross HMO | Blue Cross HMO | $93.20 |
| Beacon Commercial | Beacon Commercial | $95.26 |
| SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent | $232 |
| Geisinger Health Commercial/Exchange | Geisinger Health Commercial/Exc | $242 |
| Aetna Hp Network | Aetna Hp Network | $348 |
| Aetna | Aetna | $387 |
| Aetna Employee | Aetna Employee | $387 |
| Cdphp | Cdphp | $387 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $387 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $495 |
| Blue Cross Access | Blue Cross Access | $526 |
| Cigna PPO | Cigna PPO | $542 |
| Magnacare Standard | Magnacare Standard | $542 |
Inpatient
$774cash price (self-pay)
$774list price
$232–$542range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent | $232 |
| Cdphp | Cdphp | $387 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $387 |
| Magnacare Standard | Magnacare Standard | $542 |
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