EKG tracing at Prisma Health Blount Memorial Hospital. CPT 93005.
What Prisma Health Blount Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$90.21cash price (self-pay)
$291list price
$12.40–$346range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Tn-Tenncare UHC Community Plan [3231] | Phtn Hb UHC Community | $12.40 |
| Medicaid Tn-Tenncare Bluecare [3230] | Phtn Hb Bluecare Of Tenn Medica | $18.25 |
| Medicaid Tn-Tenncare Select [3232] | Phtn Hb Tenncare Medicaid Select | $20.84 |
| BCBS [800] | Phtn Hb BCBS Of Tenn - Blount | $30.86 |
| MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $44.81 |
| MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $44.81 |
| MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $44.81 |
| MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $44.81 |
| MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $44.81 |
| MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $44.81 |
| Medicaid Tn-Tenncare Wellpoint [3233] | Phtn Hb Wellpoint Medicaid - B | $48.73 |
| Humana Medicare Supplement [3091] | Phtn Hb Humana Medicare - Blount | $55.45 |
| Medicare BCBS [210] | Phtn Hb 100% Of Medicare - Blount | $55.45 |
| Medicare Humana [205] | Phtn Hb Humana Medicare - Blount | $55.45 |
| Medicare Wellcare [255] | Phtn Hb 100% Of Medicare - Blount | $55.45 |
| Medicare [200] | Phtn Hb Medicare - Blount | $56.01 |
| Medicare United Healthcare [230] | Phtn Hb UHC Medicare - Blount | $57.41 |
| Medicare BCBS [210] | Phtn Hb Bluecare Plus Medicare - Blount | $57.67 |
| Medicare Healthspring Fka Cigna [250] | Phtn Hb Healthspring Medicare | $57.69 |
| Medicare Wellpoint [256] | Phtn Hb Wellpoint Medicare - Blount | $57.69 |
| Cigna [2800] | Phtn Hb Cigna - Blount | $75.16 |
| Ambetter Exchange-All States Contracted [4121] | Phtn Hb Ambetter Atc | $86.81 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $96.40 |
| Consociate Health Contracted [4835] | Phtn Hb Consociate Care Medicare | $123 |
| Fairos/Occunet Contracted [4837] | Phtn Hb Occunet Medicare - Blount | $129 |
| Cigna [2800] | Phtn Hb Blount County Govt - Blount | $160 |
| Medcost [2940] | Ph Hb Medcost Benefit Services | $215 |
| Atlantic Packaging Contracted [4833] | Ph Hb Atlantic Packaging | $218 |
| Aps Healthcare System [2981] | Ghs Hb American Psych Services (Aps) | $233 |
| Medcost [2940] | Ph Hb Medcost | $242 |
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All common services at Prisma Health Blount Memorial Hospital