EKG tracing at Gifford Medical Center. CPT 93005.
What Gifford Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$100cash price (self-pay)
$201list price
$5.95–$191range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Qualified Health Plan | $47.49 |
| Martins Point Health Care | Commercial | $48.11 |
| MVP Health Care of NY | Medicare Advantage | $48.11 |
| United Healthcare | Medicare Advantage | $48.11 |
| United Healthcare | VA CCN | $48.11 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $48.55 |
| Blue Cross Blue Shield of New Hampshire | SHOP On Exchange | $64.55 |
| Harvard Pilgrim Health Care | HMO | $85.13 |
| Harvard Pilgrim Health Care | PPO | $85.13 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $86.09 |
| Cigna | Commercial | $87.12 |
| Blue Cross Blue Shield of Vermont | Managed Care | $87.60 |
| MVP Health Care of NY | Commercial | $89.48 |
| Blue Cross Blue Shield of Vermont | Commercial | $91.61 |
| United Healthcare | Commercial | $99.86 |
| Blue Cross Blue Shield of New Hampshire | Commercial | $180 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $180 |
| Multiplan | Commercial | $187 |
| Aetna of VT | Commercial | $190 |
Inpatient
$100cash price (self-pay)
$201list price
$148–$191range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Commercial | $148 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $148 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $160 |
| Cigna | Commercial | $160 |
| Harvard Pilgrim Health Care | HMO | $160 |
| Harvard Pilgrim Health Care | PPO | $160 |
| Blue Cross Blue Shield of Vermont | Managed Care | $169 |
| Blue Cross Blue Shield of Vermont | Commercial | $171 |
| MVP Health Care of NY | Commercial | $171 |
| Multiplan | Commercial | $187 |
| Aetna of VT | Commercial | $191 |
| United Healthcare | Commercial | $191 |
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