EKG tracing at WellSpan Good Samaritan Hospital. CPT 93005.
What WellSpan Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$314cash price (self-pay)
$393list price
$13.08–$369range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $13.08 |
| Geisinger_Medicaid | All_Plans | $13.08 |
| Health_Partners_Medicaid | All_Other_Plans | $13.08 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $13.08 |
| UPMC_Medicaid | All_Plans | $13.08 |
| Amerihealth_Caritas_Medicaid | All_Plans | $14.85 |
| Aetna_Better_Health_Kids | All_Plans | $35.56 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $58.68 |
| Highmark_Medicare | All_Plans | $59.27 |
| Aetna_Advantra_Medicare | All_Plans | $60.44 |
| Aetna_Medicare | All_Plans | $60.44 |
| Geisinger_Gold_Medicare | All_Plans | $61.61 |
| Devoted_Medicare | All_Plans | $61.61 |
| United_Medicare | ISNP_DSNP_Plans | $61.61 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $61.88 |
| Amerihealth_Medicare | All_Plans | $61.91 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $61.91 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $61.91 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $63.37 |
| PA_Health_&_Wellness_Medicare | All_Plans | $63.37 |
| Highmark | Higmark_Healthy_Kids | $90.95 |
| Health_Partners_Medicaid | Kidz_Partners | $96.82 |
| United_Medicaid | Community_Plan_For_Kids | $103 |
| Blue_Cross | Capital_Cares_4_kids | $161 |
| Highmark | Choice_Blue_PPO | $177 |
| Highmark | Performance_Blue | $177 |
| Highmark | Blue_Cross_High_Performance_Network | $177 |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $184 |
| Highmark | All_Other_Plans | $214 |
| Blue_Cross | All_Other_Plans | $230 |
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