EKG tracing at Southwestern Vermont Medical Center. CPT 93005.
What Southwestern Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$102cash price (self-pay)
$145list price
$4.41–$199range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MVP | Medicaid | $4.41 |
| MVP | Essential plan 1,2,5,6 | $4.41 |
| UHC | Medicaid | $4.41 |
| CDPHP | Medicaid/CHP | $5.37 |
| BMC | Healthnet Plan | $6.91 |
| HNE | Medicaid | $6.91 |
| Health New England | Commercial | $6.92 |
| Allegiance | SWVT Employee Only | $8.33 |
| UHC | Commercial | $8.33 |
| CDPHP | Commercial/Exchange | $8.51 |
| MVP | NY Exchange Individual Plans | $9.01 |
| Blue Cross | All Vermont Plans | $10.78 |
| Harvard Pilgrim | Commercial | $11.63 |
| Cigna | Commercial | $11.66 |
| MVP | VT Commercial/VT Exchange | $11.84 |
| MVP | NY Commercial/ Exchange Group plans | $11.84 |
| Aetna | PPO | $14.67 |
| Tufts | Commercial | $15.88 |
| CIGNA | Medicare Advantage | $60.66 |
| CDPHP | Medicare | $60.66 |
| Blue Cross | Medicare | $60.66 |
| Fidelis | Medicare | $60.66 |
| HNE | Medicare | $60.66 |
| Humana | Medicare | $60.66 |
| MVP | Medicare | $60.66 |
| UHC | Medicare | $60.66 |
| Wellcare | Medicare | $60.66 |
| Aetna | Medicare | $60.66 |
| Fidelis | Medicaid | $60.66 |
| Fidelis | CHP | $60.66 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.