EKG tracing at WellSpan Surgery & Rehabilitation Hospital. CPT 93005.
What WellSpan Surgery & Rehabilitation 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–$381range 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 | $57.50 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $57.50 |
| Highmark_Medicare | All_Plans | $58.08 |
| Aetna_Advantra_Medicare | All_Plans | $59.23 |
| Aetna_Medicare | All_Plans | $59.23 |
| Geisinger_Gold_Medicare | All_Plans | $60.38 |
| Devoted_Medicare | All_Plans | $60.38 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $60.63 |
| Amerihealth_Medicare | All_Plans | $60.66 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $62.10 |
| PA_Health_&_Wellness_Medicare | All_Plans | $62.10 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $69.32 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $69.32 |
| Highmark | Higmark_Healthy_Kids | $87.98 |
| Health_Partners_Medicaid | Kidz_Partners | $94.88 |
| United_Medicaid | Community_Plan_For_Kids | $101 |
| Blue_Cross | Capital_Cares_4_kids | $221 |
| Highmark | Choice_Blue_PPO | $225 |
| Highmark | Performance_Blue | $225 |
| Highmark | Blue_Cross_High_Performance_Network | $225 |
| Highmark | All_Other_Plans | $286 |
| Blue_Cross | All_Other_Plans | $315 |
| Blue_Cross | Capital_Blue_Performance_PPO | $315 |
Inpatient
$314cash price (self-pay)
$393list price
$228–$373range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $228 |
| Blue_Cross | Capital_Cares_4_kids | $232 |
| Aetna | All_Plans | $348 |
| First_Health_Network | All_Plans | $348 |
| Cigna | All_Plans | $352 |
| Blue_Cross | All_Other_Plans | $352 |
| UPMC | UPMC_For_Kids | $365 |
| UPMC | All_Plans | $365 |
| Geisinger | All_Plans | $368 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $373 |
| PHC | All_Plans | $373 |
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All common services at WellSpan Surgery & Rehabilitation Hospital