EKG tracing at UPMC Wellsboro. CPT 93005.
What UPMC Wellsboro publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$36.00cash price (self-pay)
$189list price
$9.81–$430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.51 |
| Geisinger | Medicaid/CHIP | $11.51 |
| UPMC Health Plan | CHIP | $11.51 |
| UPMC Health Plan | Managed Medicaid | $11.51 |
| Highmark Wholecare (prev Gateway) | Medicaid | $11.66 |
| United Healthcare Community Plan for Families | PA Medicaid | $13.39 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $15.77 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $17.83 |
| Aetna | Medicare | $34.02 |
| Highmark BCBS of PA | Medicare | $37.80 |
| Highmark Wholecare (prev Gateway) | Medicare | $37.80 |
| UPMC Health Plan | Managed Medicare | $38.56 |
| Cigna | Medicare | $39.69 |
| United Healthcare | Medicare | $40.45 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $40.82 |
| UPMC Work Partners | Workers Comp | $54.51 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $81.16 |
| UPMC Health Plan | Commercial | $82.40 |
| Highmark BCBS of PA | Commercial | $95.58 |
| Wirerope Works | Commercial | $105 |
| Geisinger | Commercial | $127 |
| Aetna | PEBTF Custom Network | $139 |
| Multiplan | Auto | $147 |
| Multiplan | PPO (Includes PHCS as a Payer) | $147 |
| United Healthcare | Commercial | $161 |
| Aetna | Commercial | $163 |
| America's Choice | PPO | $170 |
| InterGroup | PPO | $170 |
| Multiplan | Worker's Compensation | $180 |
Inpatient
$36.00cash price (self-pay)
$189list price
$30.30–$430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wirerope Works | Commercial | $105 |
| Aetna | PEBTF Custom Network | $139 |
| Multiplan | Auto | $147 |
| Multiplan | PPO (Includes PHCS as a Payer) | $147 |
| United Healthcare | Commercial | $161 |
| Aetna | Commercial | $163 |
| America's Choice | PPO | $170 |
| InterGroup | PPO | $170 |
| Multiplan | Worker's Compensation | $180 |
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