EKG tracing at UPMC Lititz. CPT 93005.
What UPMC Lititz 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 |
| Highmark BCBS of PA | Medicare | $56.48 |
| UPMC Work Partners | Workers Comp | $57.04 |
| Aetna | Medicare | $59.50 |
| Cigna | Medicare | $59.90 |
| Geisinger | Medicare | $59.90 |
| UPMC Health Plan | CHIP | $60.14 |
| United Healthcare | Medicare | $61.04 |
| Prime Net | Managed Medicare | $77.65 |
| Capital Blue Cross | Medicare Advantage | $82.60 |
| Keystone Health Plan | Medicare Advantage | $82.60 |
| Keystone Autism Services | ACAP | $91.28 |
| Prime Net | Legacy Commercial | $161 |
| Aetna | ACO | $162 |
| Prime Net | ACO | $162 |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $169 |
| Highmark BCBS of PA | Medicaid | $176 |
| Highmark BCBS of PA | Commercial | $179 |
| Prime Net | NonGateKeeper | $192 |
| Aetna | Commercial | $193 |
| Prime Net | GateKeeper | $193 |
| Capital Blue Cross | CHIP | $194 |
| Capital Blue Cross | Commercial | $194 |
| Keystone Health Plan | Commercial | $194 |
| Preferred Healthcare System | Inter County Health Plan/Lancaster Gener | $227 |
Inpatient
$248cash price (self-pay)
$413list price
$153–$351range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Legacy Commercial | $153 |
| Aetna | ACO | $154 |
| Prime Net | ACO | $154 |
| Prime Net | NonGateKeeper | $183 |
| Aetna | Commercial | $184 |
| Prime Net | GateKeeper | $184 |
| Preferred Healthcare System | Inter County Health Plan/Lancaster Gener | $227 |
| Geisinger | Commercial | $298 |
| Prime Net | FH-Medical Rental | $299 |
| Preferred Healthcare System | PPO | $310 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $351 |
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