EKG tracing at St. Charles Prineville. CPT 93005.

What St. Charles Prineville 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
OTJ DEPT OF LABOR FEDERAL EMP [652] \| US Dept of Labor	$87.78
CHAMP VA [700] \| Veteran Affairs	$100
HEALTH NET MED ADV [135] \| Medicare	$100
MEDICARE ADVANTAGE GENERIC [199] \| Medicare	$100
INDIAN HEALTH [704] \| Medicare	$100
KAISER PERMANENTE MED ADV [136] \| Medicare	$100
BLUE CROSS MED ADV [125] \| Blue Cross Medicare	$110
PRIMARY HEALTH OF JOSPEHINE COUNTY LLC [547] \| Oregon Medicaid CCO	$125
ALLCARE HEALTH PLAN [538] \| Oregon Medicaid CCO	$125
UMPQUA HEALTH [533] \| Oregon Medicaid CCO	$125
WILLAMETTE VALLEY COMMUNITY HEALTH [536] \| Oregon Medicaid CCO	$125
TRILLIUM MEDICAID [535] \| Oregon Medicaid CCO	$125
HEALTH SHARE KAISER [543] \| Oregon Medicaid CCO	$125
HEALTH SHARE OHSU OHP [552] \| Oregon Medicaid CCO	$125
KAISER PERMANENTE [334] \| OEBB PEBB Non-Contracted	$130
BLUE CROSS [200] \| Blue Cross Individual	$175
BRIDGESPAN [342] \| Blue Cross Individual	$175
BLUE CROSS [200] \| Blue Cross PPO	$206
REGENCE GROUP ADMINISTRATORS [203] \| Blue Cross PPO	$206
US BENEFITS [326] \| Cigna	$226
MODA [310] \| Moda Affinity	$308
SAMARITAN [376] \| First Choice Health Network	$310
KAISER PERMANENTE [334] \| First Choice Health Network	$310
MERITAIN HEALTH [300] \| Aetna	$312
UNITEDHEALTHONE [401] \| United Healthcare	$331
FIRST HEALTH [339] \| First Health	$351
MANHATTAN LIFE INSURANCE COMPANY [379] \| First Health	$351
AUTO USAA [611] \| Auto Insurance	$358
AUTO AMERICAN FAMILY INSURANCE [603] \| Auto Insurance	$358
AUTO ALLSTATE INSURANCE [602] \| Auto Insurance	$358

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