EKG tracing at Pennsylvania Hospital. CPT 93005.
What Pennsylvania Hospital publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$317cash price (self-pay)
$794list price
$7.35–$1,271range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PA Medical Assistance | Medicaid | $10.46 |
| Managed Medicaid Other | Managed Medicaid Other | $10.46 |
| PA Health and Wellness Medicaid | PA Health and Wellness Medicaid | $12.03 |
| Keystone Mercy Health Plan | Keystone Mercy Health Plan | $13.39 |
| UPMC | UPMC Medicaid | $17.78 |
| UnitedHealthcare Community (fka AmeriChoice MA) | UnitedHealthcare Com | $20.61 |
| TriCare | TriCare | $62.01 |
| US Family Health Plan | US Family Health Plan | $71.31 |
| IBC Commercial HPN | IBC Commercial HPN | $102 |
| Keystone HMO Proactive | Keystone HMO Proactive | $105 |
| Independence Blue Cross/Keystone Health Plan East | Keystone Health Pl | $105 |
| Horizon NJ Health | Horizon NJ Health | $140 |
| UnitedHealthcare | UnitedHealthcare Compass Exchange | $163 |
| Independence Blue Cross/Personal Choice | Personal Choice-IBC PPO | $173 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $183 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $206 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $278 |
| Qualcare | Qualcare | $302 |
| UnitedHealthcare New Business | UnitedHealthcare New Business | $308 |
| Wissahickon Hospice | Wissahickon Hospice | $318 |
| Pgm - Chop | Pgm - Chop | $318 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $321 |
| Olympus | Olympus | $386 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $397 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $405 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $476 |
| Independence Blue Cross | IBC Traditional | $478 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $484 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $516 |
| PGM - Embassy of Qatar | PGM - Embassy of Qatar | $516 |
Inpatient
$317cash price (self-pay)
$794list price
$53.57–$1,271range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon NJ Health | Horizon NJ Health | $134 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $183 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $206 |
| Devon | Devon Premier | $302 |
| Pgm - Chop | Pgm - Chop | $318 |
| Coventry | HealthAmerica/Coventry SEPA | $318 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $357 |
| HealthAmerica/Coventry | HealthAmerica/HealthAssurance | $389 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $397 |
| First Health Global | First Health Global | $397 |
| Coventry | Coventry of Delaware | $405 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $476 |
| Health Net | Health Net | $476 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $516 |
| Preferred Care | Preferred Care | $635 |
| PGM - Kuwait Oil | PGM - Kuwait Oil | $635 |
| PGM - Kuwait Health Division | PGM - Kuwait Health Division | $635 |
| Intergroup | Intergroup | $635 |
| Humana Choice Care | Humana Choice Care | $635 |
| Health America/CCN | First Health/ Coventry National | $635 |
| Devon Health Services Inc | Devon Health Services | $635 |
| UPMC | UPMC Medicaid | $794 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $794 |
| United Behavioral Health | United Behavioral Health | $794 |
| Quest Behavioral Health | Quest Behavioral Health | $794 |
| Managed Medicaid Other | Managed Medicaid Other | $794 |
| International PFS | International PFS | $794 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $794 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $794 |
| Health Partners | Health Partners Medicaid | $794 |
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