EKG tracing at Grace Surgical Hospital. CPT 93005.
What Grace Surgical Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$162cash price (self-pay)
$385list price
$36.25–$287range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Preferred Other Commercial Plan | $43.27 |
| Bcbs | Vapc3 Government | $57.48 |
| Aetna | Medicare Managed Care Plan | $59.26 |
| Superior | Wellcare Medicare Managed Care Plan | $62.22 |
| Unitedhealthcare | Medicare Managed Care Plan | $62.52 |
| Baylor Scott And White | Individual Bsw Premier Exchange | $126 |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Comm | $152 |
| Bcbs | Hmo | $188 |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $212 |
| Bcbs | Par Traditional | $218 |
| Bcbs | Ers Hmo | $270 |
| Bcbs | Ppo | $287 |
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