EKG tracing at Otto Kaiser Memorial Hospital. CPT 93005.
What Otto Kaiser Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 9, 2026.
Outpatient / ER
$154cash price (self-pay)
$154list price
$91.07–$147range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Inc. | Medicare Advantage | $91.07 |
| Christus Exchange | Commercial | $91.07 |
| Multiplan | Workers Compensation | $91.07 |
| Sedgewick | Workers Compensation | $91.07 |
| Triwest Va | Commercial | $91.07 |
| United HealthCare | Medicare Advantage | $91.07 |
| Humana | Medicare Advantage | $91.98 |
| AllWell | Medicare Advantage | $95.62 |
| Superior STAR | Managed Medicaid | $103 |
| Superior CHIP | Managed Medicaid | $103 |
| Superior Foster Kids | Managed Medicaid | $103 |
| Superior Perinate | Managed Medicaid | $103 |
| Superior Star+Plus | Managed Medicaid | $103 |
| Provider Partners Health | Medicare Advantage | $105 |
| Texas Independence Health | Medicare Advantage | $105 |
| Cigna HealthCare | Commercial | $107 |
| United HealthCare | Managed Medicaid | $108 |
| Humana | PPO | $108 |
| CorCare Healthcare | Commercial | $108 |
| United HealthCare | Commercial | $120 |
| IMS | Commercial | $139 |
| Multiplan PHCS | Commercial | $139 |
| Blue Cross Blue Shield | Traditional Indemnity | $147 |
| Blue Cross Blue Shield | PPO/POS Network | $147 |
| Blue Cross Blue Shield | Essentials Network | $147 |
| Coventry | Commercial | $147 |
| Coventry | Workers Compensation | $147 |
| Galaxy Health Network | Commercial | $147 |
| HealthSmart | Commercial | $147 |
| Omni | Commercial | $147 |
Inpatient
$83.00cash price (self-pay)
$83.00list price
$48.97–$78.85range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Inc. | Medicare Advantage | $48.97 |
| Christus Exchange | Commercial | $48.97 |
| Multiplan | Workers Compensation | $48.97 |
| Sedgewick | Workers Compensation | $48.97 |
| Triwest Va | Commercial | $48.97 |
| United HealthCare | Medicare Advantage | $48.97 |
| Humana | Medicare Advantage | $49.46 |
| AllWell | Medicare Advantage | $51.42 |
| Superior STAR | Managed Medicaid | $55.28 |
| Superior CHIP | Managed Medicaid | $55.28 |
| Superior Foster Kids | Managed Medicaid | $55.28 |
| Superior Perinate | Managed Medicaid | $55.28 |
| Superior Star+Plus | Managed Medicaid | $55.28 |
| Provider Partners Health | Medicare Advantage | $56.32 |
| Texas Independence Health | Medicare Advantage | $56.32 |
| Cigna HealthCare | Commercial | $57.27 |
| United HealthCare | Managed Medicaid | $58.04 |
| Humana | PPO | $58.10 |
| CorCare Healthcare | Commercial | $58.10 |
| United HealthCare | Commercial | $64.74 |
| IMS | Commercial | $74.70 |
| Multiplan PHCS | Commercial | $74.70 |
| Blue Cross Blue Shield | Traditional Indemnity | $78.85 |
| Blue Cross Blue Shield | PPO/POS Network | $78.85 |
| Blue Cross Blue Shield | Essentials Network | $78.85 |
| Coventry | Commercial | $78.85 |
| Coventry | Workers Compensation | $78.85 |
| Galaxy Health Network | Commercial | $78.85 |
| HealthSmart | Commercial | $78.85 |
| Omni | Commercial | $78.85 |
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