EKG tracing at UPMC Memorial. CPT 93005.
What UPMC Memorial 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 |
| Highmark BCBS of PA | Medicare | $13.54 |
| 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 |
| Aetna | Medicare | $59.41 |
| Cigna | Medicare | $59.81 |
| Geisinger | Medicare | $59.81 |
| UPMC Health Plan | CHIP | $60.14 |
| United Healthcare | Medicare | $60.95 |
| UPMC Work Partners | Workers Comp | $72.53 |
| Capital Blue Cross | Medicare Advantage | $82.60 |
| Keystone Health Plan | Medicare Advantage | $82.60 |
| Prime Net | Managed Medicare | $84.05 |
| Keystone Autism Services | ACAP | $91.14 |
| Prime Net | ACO/Legacy Commercial | $169 |
| Aetna | ACO | $171 |
| Highmark BCBS of PA | Medicaid | $189 |
| Prime Net | GateKeeper/NonGateKeeper | $197 |
| Aetna | Commercial | $198 |
| Highmark BCBS of PA | Commercial | $201 |
| Capital Blue Cross | CHIP | $250 |
| Capital Blue Cross | Commercial | $250 |
| Keystone Health Plan | Commercial | $263 |
| Geisinger | Commercial | $270 |
| United Healthcare | Commercial | $284 |
| UPMC Health Plan | Commercial | $289 |
| Wellspan Population Health | Commercial | $289 |
Inpatient
$248cash price (self-pay)
$413list price
$200–$351range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | ACO/Legacy Commercial | $200 |
| Aetna | ACO | $202 |
| Prime Net | GateKeeper/NonGateKeeper | $233 |
| Aetna | Commercial | $235 |
| Geisinger | Commercial | $298 |
| Prime Net | FH-Medical Rental | $308 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $351 |
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