EKG tracing at Adena Pike Medical Center. CPT 93005.
What Adena Pike Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$162cash price (self-pay)
$323list price
$77.53–$307range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Advantage | $77.53 |
| Humana | Medicare Advantage | $77.53 |
| Medigold | Medicare Advantage | $77.53 |
| Medical Mutual of Ohio | Medicare Advantage | $77.53 |
| Buckeye Community Health Plan | Medicare Advantage | $77.53 |
| Aetna | Medicare Advantage | $77.53 |
| Care Source | Medicare Advantage | $79.08 |
| Anthem | Medicare Advantage | $100 |
| Gateway Health | Commercial | $107 |
| Molina Marketplace | Commercial | $121 |
| Care Source Just4Me | Commercial | $121 |
| Anthem Ohio Exchange | PPO | $213 |
| Anthem Ohio Exchange | HMO | $213 |
| Sidecar Health | Commercial | $213 |
| The Health Plan | Commercial | $226 |
| Ohio PPO Connect | Commercial | $226 |
| Medical Mutual of Ohio SuperMed | Commercial | $232 |
| Medical Mutual of Ohio | Managed Care | $232 |
| Great West Health Care/Cigna | Commercial | $234 |
| Anthem | Traditional | $239 |
| First Health | Commercial | $253 |
| Ohio Health Choice | Commercial | $257 |
| Aetna (Cofinity/Meritain) | Commercial | $263 |
| United Healthcare | All Plans | $271 |
| Anthem Pathway | HMO/PPO | $279 |
| Integrated Health Plan | Commercial | $304 |
| Three Rivers Network | Commercial | $307 |
| HealthSmart | Emerald Commercial Products | $307 |
| Multiplan/Private Healthcare Systems | Commercial | $307 |
Inpatient
$162cash price (self-pay)
$323list price
$205–$307range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Ohio Exchange | HMO | $205 |
| Anthem Ohio Exchange | PPO | $205 |
| Ohio PPO Connect | Commercial | $226 |
| The Health Plan | Commercial | $226 |
| Medical Mutual of Ohio | Managed Care | $232 |
| Medical Mutual of Ohio SuperMed | Commercial | $232 |
| Great West Health Care/Cigna | Commercial | $234 |
| Anthem | Traditional | $239 |
| First Health | Commercial | $253 |
| Ohio Health Choice | Commercial | $257 |
| Aetna (Cofinity/Meritain) | Commercial | $263 |
| Anthem Pathway | HMO/PPO | $271 |
| Integrated Health Plan | Commercial | $304 |
| Three Rivers Network | Commercial | $307 |
| Multiplan/Private Healthcare Systems | Commercial | $307 |
| HealthSmart | Emerald Commercial Products | $307 |
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