EKG tracing at Iraan General Hospital. CPT 93005.
What Iraan General Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$158cash price (self-pay)
$243list price
$45.00–$460range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $48.50 |
| Aetna | Commercial | $195 |
| Blue Cross Blue Shield - Tx | Essentials Network Participation | $209 |
| Blue Cross Blue Shield - Tx | Commercial | $219 |
| Blue Cross Blue Shield - Tx | PPO | $219 |
| Superior HealthPlan | Medicare HMO | $302 |
| Superior HealthPlan | Medicare PPO | $302 |
| Superior HealthPlan | Commercial | $429 |
| Superior HealthPlan | EPO | $429 |
| Superior HealthPlan | HMO | $429 |
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