EKG tracing at Lake Granbury Medical Center. CPT 93005.
What Lake Granbury Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$227cash price (self-pay)
$1,263list price
$56.30–$1,739range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Tricare | NODE Tricare | $56.30 |
| BCBS TX | BCBS TX Blue ADV | $59.25 |
| NODE ChampVA | NODE ChampVA | $59.26 |
| BCBS TX | BCBS TX HMO | $62.37 |
| BCBS TX | BCBS TX PPO Trad | $62.37 |
| NODE Aetna CHIP Medicaid TX | NODE Aetna CHIP Medicaid TX | $172 |
| NODE Cook Childrens Health Plan CHIP Medicaid TX | NODE Cook Childrens | $172 |
| Medicaid | NODE TX Medicaid | $172 |
| NON PAR TX Medicaid | NODE TX Medicaid NON PAR | $172 |
| NODE UHC CHIP/STAR KIDS Medicaid TX | NODE UHC CHIP Medicaid TX | $172 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $172 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $172 |
| Healthspring | NODE Cigna Healthspring Medicaid TX | $180 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $180 |
| NODE Molina Medicaid TX | NODE Molina STAR Medicaid TX | $180 |
| Amerigroup | NODE Wellpoint CHIP Medicaid TX | $180 |
| NODE Superior CHIP/STAR KIDS/ STAR HEALTH Medicaid TX | NODE Superior | $198 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $198 |
| Superior | NODE Superior STAR Medicaid TX | $198 |
| NODE Superior STAR PLUS Medicaid TX | NODE Superior STAR PLUS Medicaid | $198 |
| NODE Aetna STAR KIDS Medicaid TX | NODE Aetna STAR KIDS Medicaid TX | $234 |
| NODE Cook Childrens Health Plan STAR KIDS Medicaid TX | NODE Cook Chil | $234 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $318 |
| Cigna | Cigna New Business | $321 |
| Cigna | Cigna ALL | $498 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $532 |
| NODE Molina STAR PLUS Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $559 |
| Aetna | Aetna Whole Health | $575 |
| Aetna | Aetna NBD | $606 |
| Aetna | NODE Aetna STAR Medicaid TX | $618 |
Inpatient
$341cash price (self-pay)
$1,263list price
$139–$1,739range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $139 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $318 |
| Cigna | Cigna New Business | $321 |
| United Healthcare | UHC APA | $537 |
| Aetna | Aetna Whole Health | $575 |
| Aetna | Aetna NBD | $606 |
| Aetna | Aetna PPO HMO | $676 |
| Healthsmart | Healthsmart ACCEL | $695 |
| Aetna | Aetna NAB First Health Rental | $719 |
| Aetna | Aetna Auto | $868 |
| Healthsmart | Healthsmart PPO HPO | $884 |
| Santa Fe Hospital Association | Santa Fe Hospital Association | $1,010 |
| Multiplan | Multiplan Complementary | $1,111 |
| Galaxy Health | Galaxy Health PPO | $1,200 |
| MedCorp Southwest | MedCorp Southwest | $1,200 |
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