EKG tracing at lodi hospital. CPT 93005.
What lodi hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$222cash price (self-pay)
$342list price
$31.31–$342range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OPTUM | Managed Medicaid Transplant | $31.31 |
| Buckeye | Managed Medicaid | $32.96 |
| CARESOURCE | Managed Medicaid | $32.96 |
| ANTHEM | Managed Medicaid | $34.61 |
| MOLINA | Managed Medicaid | $34.61 |
| AMERIHEALTH | Managed Medicaid | $36.26 |
| OPTUM | All Products VA | $59.40 |
| OPTUM | Medicare Advantage Transplant | $59.40 |
| Anthem | Medicare Advantage | $60.27 |
| Oscar | All Products | $96.72 |
| HUMANA | Medicare Advantage HMO | $103 |
| MMO | Medicare Advantage HMO & PPO | $103 |
| Aetna | Medicare Advantage | $109 |
| Php | All Products | $109 |
| Phphi | All Products | $109 |
| Summacare | MEDICARE ADVANTAGE | $109 |
| Amish Community Aid Plan | ALL PRODUCTS | $154 |
| Aultcare | PPO/HMO | $165 |
| Ohcp | All Products | $166 |
| Omas | All Products | $171 |
| Mmo | Traditional | $178 |
| Ohio Healthy | TRANSPLANT | $185 |
| OPTUM | All Products Transplant | $194 |
| AETNA | Acop | $194 |
| Summacare | Preferred | $197 |
| Anthem | Hpn | $207 |
| Cigna | All Products | $217 |
| Anthem | Traditional | $227 |
| Cc Ehp | All Products | $230 |
| AETNA | Asa_Whirlpool_Peia | $235 |
Inpatient
$222cash price (self-pay)
$342list price
$96.72–$342range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $123 |
| Amish Community Aid Plan | ALL PRODUCTS | $171 |
| Anthem | Hpn | $187 |
| Anthem | PPO/HMO | $220 |
| Anthem | Traditional | $231 |
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