EKG tracing at Pelham Medical Center. CPT 93005.
What Pelham Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$55.20cash price (self-pay)
$92.00list price
$56.25–$273range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare Managed Care Plan | $56.25 |
| Bcbs | Medicare Managed Care Plan | $56.66 |
| Devoted Health Plan | Medicare Managed Care Plan | $57.94 |
| Aetna | Medicare Managed Care Plan | $58.50 |
| Absolute Total Care | Medicare Managed Care Plan | $59.07 |
| Cigna | Healthspring Medicare Managed Care Plan | $60.19 |
| Bcbs | State Health Plan Other Commercial Plan | $84.19 |
| Bcbs | Blue Preferred Exchange | $107 |
| Bcbs | Bluechoice Exchange | $107 |
| Cigna | All Commercial Plans | $155 |
| Bcbs | Blue Preferred Ppo | $199 |
| Bcbs | Innovations Other Commercial Plan | $199 |
| Bcbs | Bluechoice Hmo | $273 |
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