EKG tracing at Methodist Le Bonheur Germantown Hospital. CPT 93005.
What Methodist Le Bonheur Germantown Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$78.32cash price (self-pay)
$356list price
$6.97–$446range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennC | $7.28 |
| Ar - Medicaid [300005] | Hb Medicaid-Ar Contract | $17.00 |
| Ar Medicaid Replacement [350010] | Hb Xr Ar Passe Caid/Caresource/Empo | $17.00 |
| Alt BCBS MS Commercial [200009] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $25.05 |
| BCBS Ms [200002] | Hb BCBS Tn - Muh, Mnh, Msh, Mob, Mgh | $25.05 |
| BCBS Commercial [200011] | HB BCBS TN - MUH, MNH, MSH, MOB, MGH | $25.05 |
| BCBS Tn [200003] | Hb BCBS Tn - Muh, Mnh, Msh, Mob, Mgh | $25.05 |
| Molina Healthcare [350012] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contrac | $45.32 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $45.32 |
| Wellpoint Medicaid [350002] | Hb Amerigroup-Wellpoint Tn Adult Contrac | $51.81 |
| Humana Medicare Advantage [450013] | Hb Medicare Advantage / Managed C | $54.39 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $54.39 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $54.39 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $54.39 |
| Va Ccn UHC [600003] | Hb Va - Tn Contract | $54.39 |
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $54.39 |
| Medicare [400001] | Hb Medicare-Tn Contract | $54.39 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $54.39 |
| Wellpoint Medicare [450090] | Hb Medicare Advantage Wellcare/Wellpoint | $54.39 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $54.39 |
| Carecentrix [450200] | Hb Medicare Advantage / Managed Care - Tn Contr | $54.39 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $54.39 |
| Tricare [600001] | Hb Tricare - Tn Contract | $54.72 |
| Devoted Health [450111] | Hb Medicare Advantage Devoted - Tn Contract | $56.02 |
| Molina Healthcare [350012] | Hb Molina Mschips - Mlh-Tn Contract | $56.65 |
| CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Ca | $80.62 |
| UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $85.93 |
| CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Ca | $88.48 |
| CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Br | $93.40 |
| CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-C | $103 |
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All common services at Methodist Le Bonheur Germantown Hospital