EKG tracing at Ascension Seton Edgar B. Davis (Ascension Seton). CPT 93005.

What Ascension Seton Edgar B. Davis (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$204cash price (self-pay)

$640list price

$8.06–$574range insurers pay

Insurance plan	Negotiated rate
Champva \| 1135_champva Rest_tx 20180301	$8.06
Champva \| 1136_champva Austin 20180301	$8.72
Tricare \| 1229_tricare Cah Outpatient 20170101	$54.04
BCBS Bav Exchange \| 4127_blue Cross Blue Shield Bav Exchange 20250101	$94.07
Seton Performance Plus \| 785_seton Performance EPO PPO (Aus,Nw,Sw,Hay)	$134
Seton Performance Plus \| 788_seton Performance EPO PPO (Wil,Del,Brk,Ba	$134
Cigna HMO \| 4476_cigna HMO (Wil,Del) 20250701	$187
Cigna HMO \| 4475_cigna HMO (Aus,Nw,Sw,Hay) 20250701	$187
BCBS Hpn \| 4440_blue Cross Blue Shield Hpn 20250501	$187
BCBS Hpn \| 4497_blue Cross Blue Shield Hpn (Dell, Williamson,Hays) 202	$187
BCBS HMO Essentials \| 4095_blue Cross Blue Shield HMO Essentials 20250	$206
BCBS PPO \| 4094_blue Cross Blue Shield PPO 20250101	$228
Aetna Aco HMO \| 4489_aetna Aco HMO 20250801	$310
Aetna Sha Aisd \| 4335_aetna Sha Aisd 20250101	$310
Aetna Multi-Tier Whole Health Sha \| 4490_aetna Multi-Tier Whole Health	$344
Aetna PPO \| 4488_aetna PPO 20250801	$378
Aetna HMO \| 4486_aetna HMO 20250801	$391
Covenant Health \| 4491_covenant Management Solutions-Aetna 20250801	$391
Aetna Aco PPO/HMO - Chi \| 4483_aetna Aco PPO/HMO (Chi,Dcn) 20250801	$472
Aetna Multi-Tier Whole Health Sha \| 4484_aetna Multi-Tier Whole Health	$520
Aetna HMO - Chi \| 4481_aetna HMO (Chi,Dcn) 20250801	$574
Aetna PPO - Chi \| 4482_aetna PPO (Chi,Dcn) 20250801	$574
Covenant Health \| 4485_covenant Management Solutions-Aetna (Chi,Dcn) 2	$574

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All common services at Ascension Seton Edgar B. Davis (Ascension Seton)