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EKG tracing at St. Luke's Health Memorial San Augustine. CPT 93005.

What St. Luke's Health Memorial San Augustine publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$115cash price (self-pay)
$973list price
$53.94–$1,226range insurers pay
Insurance planNegotiated rate
AETNA | Medicare|All Plans$53.94
HUMANA | Medicare|All Plans$53.94
Wellpoint | Medicare|All Plans$55.56
CIGNA HEALTHSPRING | Medicare|All Other Plans$56.64
CIGNA HEALTHSPRING | Medicare|PPO$57.18
BCBS | Medicare|All Plans$58.96
UNITED | Medicare|All Plans$58.96
SCANHealth | Medicare|All Plans$60.08
MD Save | Commercial|All Plans$67.42
Wellpoint | Commercial|Exchange$88.44
Cigna | Commercial|All Plans$100
BCBS-TX | Commercial|Blue Premier$118
BCBS-TX | Commercial|Blue Advantage HMO$134
BCBS-TX | Commercial|HMO$135
BCBS-TX | Commercial|PPO$146
Angelina County | Commercial|All Plans$147
Brookshire Brothers | Commercial|All Plans$162
United | Commercial|Exchange$175
United | Commercial|All Other Plans$224
Aetna | Commercial|All Plans$243
PHCS | Commercial|All Plans$662
Humana | Commercial|All Plans$681
Multiplan | Commercial|All Plans$681
Galaxy | Commercial|All Plans$876
Entrust | Commercial|All Plans$1,012

Inpatient

$115cash price (self-pay)
$973list price
$192–$1,179range insurers pay
Insurance planNegotiated rate
Aetna | Commercial|All Plans$243
Humana | Commercial|All Plans$681
Multiplan | Commercial|All Plans$681
PHCS | Commercial|All Plans$778
Galaxy | Commercial|All Plans$876
United | Commercial|Exchange$973
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All common services at St. Luke's Health Memorial San Augustine