EKG tracing at Lewisgale Hospital-montgomery. CPT 93005.
What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$843cash price (self-pay)
$843list price
$147–$759range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | NPR | $147 |
| Lifeworks | MCR | $160 |
| Universal Healthcare Group | MCR | $185 |
| Virginia Health Network | ULTRA | $295 |
| Aetna | SharedSavings | $303 |
| United | OptionsPPO | $326 |
| Cigna | HMO | $351 |
| Cigna | PPO | $351 |
| United | GlobalBenefitPlan | $379 |
| Aetna | Broad | $447 |
| Greenvbrier Sporting Club | COMM | $506 |
| Multiplan | PHCS | $565 |
| Virginia Health Network | COMM | $599 |
| Virginia Health Network | WC | $599 |
| CorVel | WorkersComp | $607 |
| Richfield Nursing Center | COMM | $632 |
| Richfield Retirement Community | COMM | $632 |
| Community Care Network | COMM | $674 |
| Graham-White Manufacturing | COMM | $674 |
| OccuNet Workers Comp | WorkersComp | $674 |
| One Health Plan | POS | $674 |
| One Health Plan | PPO | $674 |
| Phcs | Comm | $717 |
| Patients Choice | COMM | $742 |
| 4Most | COMM | $759 |
| American Postal Workers Union | COMM | $759 |
| Star Transportation | COMM | $759 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.