EKG tracing at Avita Ontario Hospital. CPT 93005.
What Avita Ontario Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$166cash price (self-pay)
$195list price
$39.68–$5,629range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | Medicaid_Outpatient | $39.68 |
| Traditional_Medicaid | Outpatient | $39.68 |
| Molina | Medicaid_Outpatient | $39.68 |
| OhioRise | Medicaid_Outpatient | $39.68 |
| United_HealthCare | Medicaid_Outpatient | $39.68 |
| Anthem | Medicaid_Outpatient | $40.87 |
| AmeriHealth | Medicaid_Outpatient | $41.66 |
| Buckeye | Medicaid_Outpatient | $42.91 |
| Humana_Horizons | Medicaid_Outpatient | $42.91 |
| Molina | Medicare_Outpatient | $62.40 |
| United_HealthCare | Medicare_Outpatient | $62.40 |
| Aetna | Medicare_Outpatient | $77.70 |
| Anthem | Medicare_Outpatient | $77.70 |
| Buckeye | Medicare_Outpatient | $77.70 |
| Humana | Medicare_Outpatient | $77.70 |
| Traditional_Medicare | Outpatient | $77.70 |
| Mount_Carmel | Medicare_Outpatient | $77.70 |
| Medical_Mutual | Medicare_Outpatient | $79.25 |
| Molina | Marketplace_Outpatient | $99.84 |
| Anthem | Traditional_Blue_Access_Blue_Preferred | $118 |
| Anthem | Blue_Access_I-II_Enhanced_Choice_Pathway_X | $119 |
| Anthem | Blue_Access_Blue_Preferred | $123 |
| Anthem | Pathway_Group_HMO_Pathway_X | $129 |
| Cigna | Commercial | $152 |
| Medical_Mutual | Commercial | $156 |
| Aetna | All_Commercial | $166 |
| United_HealthCare | Commercial | $166 |
| Anthem | Medicare_Inpatient | $3,518 |
| Buckeye | Medicare_Inpatient | $3,518 |
| Humana | Medicare_Inpatient | $3,518 |
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