EKG tracing at Aspirus Divine Savior Hospital. CPT 93005.
What Aspirus Divine Savior Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$131cash price (self-pay)
$201list price
$9.49–$1,473range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz Health Solutions, Inc. | Quartz Fully Insured And Self Insured | $17.97 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $33.97 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $34.38 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $37.96 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Prog | $42.47 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $56.51 |
| Aetna | Medicare Advantage Esa | $57.30 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $58.45 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $58.98 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $60.17 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $64.91 |
| Dean Health Plan | Dean Health Plan Commercial Hmo | $73.43 |
| Group Health Cooperative Of South Central Wisconsin | Group Health Coo | $113 |
| Dean Health Plan | Dean Health Plan Commercial Aso Hmo | $134 |
| Dean Health Plan | Dean Health Plan Commercial Pos | $134 |
| Dean Health Plan | Dean Health Plan Commercial Ppo | $134 |
| Multiplan, Inc | Aetna Health Plan Ppo Networks | $146 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $236 |
| Security Health Plan Of Wisconsin, Inc. | Security Administrative Serv | $1,473 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $1,473 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Indemni | $1,473 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Pos Pla | $1,473 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Premier | $1,473 |
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