EKG tracing at Jackson County Memorial Hospital. CPT 93005.
What Jackson County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$165cash price (self-pay)
$165list price
$43.53–$157range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield Of Oklahoma | Blue Advantage | $43.53 |
| Blue Cross Blue Shield Of Oklahoma | Blue Choice | $43.53 |
| Blue Cross Blue Shield Of Oklahoma | Blue Lincs | $43.53 |
| Blue Cross Blue Shield Of Oklahoma | Blue Preferred | $43.53 |
| Blue Cross Blue Shield Of Oklahoma | Blue Traditional | $43.53 |
| Coventry | Medicare Advantage | $60.51 |
| Humana | Medicare Advantage | $60.51 |
| Humana | Veteran Services Project Hero | $60.51 |
| Healthcare Highways | Sync PPO | $99.01 |
| United Healthcare | PPO | $112 |
| Oklahoma Health Network (OHN) | PPO | $116 |
| Coventry | PPO | $122 |
| Coventry | First Health PPO | $132 |
| Phcs | Multiplan Savility PPO | $132 |
| Aetna | Gatekeeper | $137 |
| Aetna | Non Gatekeeper | $140 |
| Cigna | PPO | $140 |
| Phcs | Multiplan PPO | $149 |
| Preferred Community Choice | PPO | $149 |
| Humana | PPO | $157 |
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