EKG tracing at St. Charles Madras. CPT 93005.
What St. Charles Madras publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$286cash price (self-pay)
$358list price
$58.29–$358range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Central Oregon | $58.29 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Gorge & Lane C | $60.68 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacifcSource Healthier Orego | $64.61 |
| CHAMP VA [700] | Veteran Affairs | $85.95 |
| UHC MEDICARE ADVANTAGE [127] | Medicare | $85.95 |
| MEDICARE ADVANTAGE GENERIC [199] | Medicare | $85.95 |
| UNICARE [133] | Medicare | $85.95 |
| WELLCARE [132] | Medicare | $85.95 |
| HEALTH NET MED ADV [135] | Medicare | $85.95 |
| OTJ DEPT OF LABOR FEDERAL EMP [652] | US Dept of Labor | $87.78 |
| PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $90.60 |
| BLUE CROSS MED ADV [125] | Blue Cross Medicare | $94.54 |
| PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $99.70 |
| TRICARE [705] | Tricare | $112 |
| KAISER PERMANENTE [334] | OEBB PEBB Non-Contracted | $130 |
| PACIFICSOURCE [345] | PacificSource Voyager | $143 |
| MODA MEDICAID [528] | Eastern Oregon CCO | $147 |
| HEALTH SHARE [537] | Oregon Medicaid CCO | $147 |
| COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO | $147 |
| TRILLIUM MEDICAID [535] | Oregon Medicaid CCO | $147 |
| HEALTH SHARE PROVIDENCE [548] | Oregon Medicaid CCO | $147 |
| LAW ENFORCEMENT [701] | SCHS HB Oregon Department of Corrections | $178 |
| PACIFICSOURCE [345] | PacificSource Navigator Group | $196 |
| PACIFICSOURCE [345] | PacificSource Navigator Individual | $196 |
| PROVIDENCE HEALTH PLAN [347] | Providence Health Plan Individual | $251 |
| FIRST CHOICE HEALTH [317] | First Choice Health Network | $310 |
| AETNA [321] | Aetna | $312 |
| UNITEDHEALTHONE [401] | United Healthcare | $331 |
| MANHATTAN LIFE INSURANCE COMPANY [379] | First Health | $351 |
| AUTO ALLSTATE INSURANCE [602] | Auto Insurance | $358 |
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