EKG tracing at St. Luke's Health - Springwoods Village Hospital. CPT 93005.
What St. Luke's Health - Springwoods Village Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$295cash price (self-pay)
$844list price
$42.84–$844range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Renaissance | Commercial|All Plans | $42.84 |
| BCBS | Medicare|All Plans | $59.50 |
| CIGNA HEALTHSPRING | Medicare|HMO | $59.50 |
| HUMANA | Medicare|All Other Plans | $59.50 |
| CIGNA HEALTHSPRING | Medicare|PPO | $60.09 |
| AETNA | Medicare|All Plans | $60.69 |
| Amerivantage | Medicare|All Plans | $61.28 |
| DEVOTED | Medicare|All Plans | $63.66 |
| BCBS-TX | Commercial|MyBlue Health Exchange | $80.31 |
| KelseyCare | Commercial|Exchange | $80.33 |
| Cigna | Commercial|All Other Plans | $89.25 |
| Community Health Choice | Commercial|Exchange | $89.25 |
| Superior Health Plan | Commercial|All Plans | $89.25 |
| BCBS-TX | Commercial|Exchange | $92.97 |
| Bright Health | Commercial|All Plans | $93.09 |
| Cigna | Commercial|HMO | $100 |
| Cigna | Commercial|PPO | $100 |
| Cigna | Commercial|Surefit | $100 |
| BCBS-TX | Commercial|Blue Premier | $117 |
| BCBS-TX | Commercial|HMO | $154 |
| BCBS-TX | Commercial|PPO | $175 |
| NXHealth | Commercial|All Plans | $193 |
| United | Commercial|Exchange | $209 |
| TCHPCHIP | Medicaid|HMO | $295 |
| OPTUM | Medicaid|STAR | $305 |
| United | Commercial|HMO | $342 |
| United | Commercial|PPO | $342 |
| United | Commercial|Optum | $397 |
| CHC | Medicaid|CHIP | $464 |
| CHC | Medicaid|HMO | $464 |
Inpatient
$295cash price (self-pay)
$844list price
$363–$844range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TCHPCHIP | Medicaid|HMO | $363 |
| CHC | Medicaid|CHIP | $464 |
| CHC | Medicaid|HMO | $464 |
| TEXASTRUECHOICE | Medicaid|CHIP | $464 |
| Coventry | Commercial|PPO | $549 |
| First Health | Commercial|All Plans | $549 |
| Cigna | Commercial|Transplant | $591 |
| Healthsmart | Commercial|PPO | $591 |
| Interlink | Commercial|Transplant | $591 |
| MultiPlan | Commercial|All Plans | $633 |
| USA Health Network | Commercial|All Plans | $717 |
| MHealth Network | Commercial|PPO | $844 |
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All common services at St. Luke's Health - Springwoods Village Hospital