EKG tracing at Suburban Behavioral Health Campus of Roxborough Memorial Hospital. CPT 93005.

What Suburban Behavioral Health Campus of 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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All common services at Suburban Behavioral Health Campus of Roxborough Memorial Hospital