EKG tracing at Providence St Peter Hospital. CPT 93005.
What Providence St Peter Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$196cash price (self-pay)
$377list price
$57.67–$308range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $67.85 |
| Aetna | Gatekeeper Medicare Managed Care - Hmo | $69.88 |
| Aetna | Non-Gatekeeper Medicare Managed Care - Ppo | $70.56 |
| Unitedhealthcare | Medicare Managed Care Plan | $72.60 |
| Blue Shield | Regence Medicare Managed Care Plan | $73.27 |
| Humana | Medicare Managed Care Plan | $74.63 |
| Aetna | All Commercial Plans | $97.00 |
| Community Health Plan | Medicare Managed Care Plan | $109 |
| Molina | Exchange | $115 |
| Blue Cross | Premera Lifewise Exchange | $122 |
| Unitedhealthcare | Navigate Other Commercial Plan | $124 |
| Coordinated Care | Ambetter Exchange | $126 |
| Blue Shield | Regence Uniform Medical Plan Other Commercial Plan | $136 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $154 |
| Blue Cross | Premera Heritage Signature Other Commercial Plan | $187 |
| Blue Cross | Premera All Commercial Plans | $192 |
| Blue Shield | Regence All Commercial Plans | $209 |
| Kaiser | All Commercial Plans | $216 |
| Providence Health Plan | Signature/Choice Network Other Commercial Pla | $222 |
| Unitedhealthcare | All Commercial Plans | $265 |
| First Choice | All Commercial Plans | $308 |
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