EKG tracing at Roxborough Memorial Hospital. CPT 93005.
What Roxborough Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$60.00cash price (self-pay)
$386list price
$10.46–$375range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners Plan | Health Partners Plan Medicaid | $10.46 |
| Keystone | Keystone First Medicaid | $11.10 |
| UHC | UHC Medicaid | $11.82 |
| Humana Military Tricare | Humana Military Tricare | $48.24 |
| Health Partners Plan | Health Partners Plan Medicare | $60.30 |
| Independence Blue Cross | IBC Medicare | $60.30 |
| PA Health & Wellness | PA Health & Wellness Medicare & Duals | $60.30 |
| Traditional Medicare | Traditional Medicare | $60.30 |
| Tricare | Tricare | $60.30 |
| UHC | UHC Medicare | $60.30 |
| UHC | UHC Va Ccn | $60.30 |
| Providers Partner Health Plan | Provider Partners Health Plan | $62.11 |
| Keystone | Keystone First Medicare | $62.71 |
| Ally-Align Medicare | Ally-Align Medicare | $63.32 |
| Spartan | Spartan Plan | $63.32 |
| Auto Insurance | Auto Insurance | $66.33 |
| Worker Compensation | Worker Compensation | $68.14 |
| PA Health & Wellness | PA Health & Wellness Commercial Insurance Excha | $72.36 |
| Employer Direct Healthcare | Employer Direct Healthcare | $84.42 |
| Health Partners Plan | Health Partners Plan Exchange | $90.45 |
| Naphcare | Naphcare | $93.47 |
| UHC | UHC Exchange | $94.85 |
| UHC | UHC Commercial All Payer | $126 |
| Highmark | Highmark Commercial (02-01-2024 to 12-31-2026) | $131 |
| Cigna | Cigna Commercial (05-01-2023 to 12-31-2026) | $143 |
| Independence Blue Cross | IBC PPACA | $193 |
| Independence Blue Cross | IBC Commercial HMO PPO | $195 |
| Independence Blue Cross | IBC Indemnity | $195 |
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