EKG tracing at UPMC Carlisle. CPT 93005.
What UPMC Carlisle publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$248cash price (self-pay)
$413list price
$13.28–$351range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $13.28 |
| Highmark Wholecare (prev Gateway) | Medicaid | $13.28 |
| UPMC Health Plan | Managed Medicaid | $13.60 |
| United Healthcare Community Plan for Families | PA Medicaid | $13.70 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $14.25 |
| Geisinger | Medicaid/CHIP | $15.24 |
| PA Health & Wellness | PA Medicaid HMO | $17.83 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $56.25 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $56.25 |
| Humana | Medicare | $56.82 |
| UPMC Work Partners | Workers Comp | $57.04 |
| Aetna | Medicare | $59.26 |
| Cigna | Medicare | $59.66 |
| Geisinger | Medicare | $59.66 |
| UPMC Health Plan | CHIP | $60.14 |
| United Healthcare | Medicare | $60.80 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $61.37 |
| Prime Net | Managed Medicare | $78.27 |
| Capital Blue Cross | Medicare Advantage | $82.60 |
| Keystone Health Plan | Medicare Advantage | $82.60 |
| Keystone Autism Services | ACAP | $90.91 |
| Highmark BCBS of PA | Community Blue PPO | $160 |
| Prime Net | Legacy Commercial | $161 |
| Aetna | ACO | $162 |
| Prime Net | ACO | $162 |
| Highmark BCBS of PA | CHIP - Managed Care | $167 |
| Highmark BCBS of PA | Commercial | $178 |
| Prime Net | NonGateKeeper | $192 |
| Aetna | Commercial | $193 |
| Prime Net | GateKeeper | $193 |
Inpatient
$248cash price (self-pay)
$413list price
$169–$351range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Legacy Commercial | $169 |
| Aetna | ACO | $170 |
| Prime Net | ACO | $170 |
| Prime Net | NonGateKeeper | $201 |
| Aetna | Commercial | $202 |
| Prime Net | GateKeeper | $202 |
| Geisinger | Commercial | $298 |
| Prime Net | FH-Medical Rental | $312 |
| Wellspan Population Health | PPO | $330 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $351 |
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