EKG tracing at Ascension Providence. CPT 93005.
What Ascension Providence publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$109cash price (self-pay)
$334list price
$7.08–$136range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellpoint Star | 815_wellpoint (Amerigroup) Star Inpatient 20240901 | $7.08 |
| Wellpoint Star | 902_wellpoint (Amerigroup) Star Outpatient 20241201 | $7.08 |
| Ascension Complete Medicare Replacement | 920_medicare Advantage Ascen | $58.22 |
| Medicare Advantage 100 Percent | 879_medicare Advantage 100% Outpatien | $58.22 |
| Tricare | 877_tricare Outpatient 20250101 | $58.22 |
| Va | 887_veterans Administration Outpatient 20250101 | $58.22 |
| Wellcare Allwell Medicare Advantage | 918_wellcare Allwell Medicare Ad | $58.22 |
| Aetna Medicare Replacement | 880_medicare Advantage Aetna Outpatient 2 | $59.38 |
| UHC Medicare Replacement | 883_medicare Advantage United Healthcare Ou | $59.38 |
| Swhp Medicare Replacement | 882_medicare Advantage Scott And White Out | $59.97 |
| Smarthealth | 875_smarthealth Outpatient 20250101 | $81.51 |
| Green Imaging | 932_green Imaging Outpatient 20250101 | $87.33 |
| Superior Ambetter | 876_superior Ambetter Outpatient 20250101 | $87.33 |
| BCBS Mybluehealth | 872_blue Cross Blue Shield Myblueheath 20250101 | $91.31 |
| BCBS Advantage HMO | 871_blue Cross Blue Shield Advantage HMO 20250101 | $114 |
| BCBS Essentials HMO | 870_blue Cross Blue Shield HMO Essentials 202501 | $123 |
| BCBS PPO | 869_blue Cross Blue Shield PPO 20250101 | $136 |
Inpatient
—cash price (self-pay)
—list price
$58.22–$87.33range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ascension Complete Medicare Replacement | 995_medicare Advantage Ascen | $58.22 |
| Medicare Advantage 100 Percent | 988_medicare Advantage 100% Inpatient | $58.22 |
| Tricare | 986_tricare Inpatient 20251001 | $58.22 |
| Va | 992_veterans Administration Inpatient 20251001 | $58.22 |
| Wellcare Allwell Medicare Advantage | 994_wellcare Allwell Medicare Ad | $58.22 |
| Aetna Medicare Replacement | 989_medicare Advantage Aetna Inpatient 20 | $59.38 |
| UHC Medicare Replacement | 991_medicare Advantage United Healthcare In | $59.38 |
| Swhp Medicare Replacement | 990_medicare Advantage Scott And White Inp | $59.97 |
| Smarthealth | 984_smarthealth Inpatient 20251001 | $81.51 |
| Superior Ambetter | 985_superior Ambetter Inpatient 20251001 | $87.33 |
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