EKG tracing at Dell Children's Medical Center (Ascension Seton). CPT 93005.
What Dell Children's Medical Center (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated June 17, 2024.
Outpatient / ER
—cash price (self-pay)
—list price
$8.05–$215range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1135_champva Rest_tx 20180301 | $8.05 |
| Champva | 1136_champva Austin 20180301 | $8.72 |
| Tricare | 1229_tricare Cah Outpatient 20170101 | $54.04 |
| Tricare | 475_tricare Outpatient 20161001 | $54.04 |
| BCBS Bav Exchange | 2564_blue Cross Blue Shield Bav Exchange 20230101 | $87.30 |
| 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 Oap | 1141_cigna Oap (Wil,Del,Brk) 20190701 | $158 |
| Cigna Oap | 1142_cigna Oap (Aus,Nw,Sw,Hay) 20190701 | $158 |
| Cigna HMO | 2667_cigna HMO (Wil,Del) 20230701 | $187 |
| Cigna HMO | 2666_cigna HMO (Aus,Nw,Sw,Hay) 20230701 | $187 |
| BCBS HMO Essentials | 2562_blue Cross Blue Shield HMO Essentials 20230 | $194 |
| BCBS PPO | 2560_blue Cross Blue Shield PPO 20230101 | $215 |
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All common services at Dell Children's Medical Center (Ascension Seton)