EKG tracing at Ascension Seton Smithville (Ascension Seton). CPT 93005.
What Ascension Seton Smithville (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$89.10cash price (self-pay)
$248list price
$8.06–$364range 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 |
| Sendero Idealcare | 1571_sendero Idealcare Op 20200101 | $101 |
| Aetna Aco HMO | 4489_aetna Aco HMO 20250801 | $128 |
| Aetna Sha Aisd | 4335_aetna Sha Aisd 20250101 | $128 |
| 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 |
| Aetna Multi-Tier Whole Health Sha | 4490_aetna Multi-Tier Whole Health | $141 |
| Aetna HMO | 4486_aetna HMO 20250801 | $161 |
| Covenant Health | 4491_covenant Management Solutions-Aetna 20250801 | $161 |
| 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 |
| Aetna Aco HMO | 4495_aetna Aco HMO (Smv) 20250801 | $219 |
| BCBS PPO | 4094_blue Cross Blue Shield PPO 20250101 | $228 |
| Aetna Multi-Tier Whole Health Sha | 4496_aetna Multi-Tier Whole Health | $236 |
| Aetna PPO | 4488_aetna PPO 20250801 | $240 |
| Aetna HMO | 4492_aetna HMO (Smv) 20250801 | $266 |
| Aetna PPO | 4493_aetna PPO (Smv) 20250801 | $266 |
| Covenant Health | 4494_covenant Management Solutions-Aetna (Smv) 20250 | $266 |
| Aetna Aco PPO/HMO - Chi | 4483_aetna Aco PPO/HMO (Chi,Dcn) 20250801 | $300 |
| Aetna Multi-Tier Whole Health Sha | 4484_aetna Multi-Tier Whole Health | $330 |
| Aetna HMO - Chi | 4481_aetna HMO (Chi,Dcn) 20250801 | $364 |
| Aetna PPO - Chi | 4482_aetna PPO (Chi,Dcn) 20250801 | $364 |
| Covenant Health | 4485_covenant Management Solutions-Aetna (Chi,Dcn) 2 | $364 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Ascension Seton Smithville (Ascension Seton)