EKG tracing at Bellin Memorial Hospital. CPT 93005.
What Bellin Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$60.65cash price (self-pay)
$179list price
$11.07–$231range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Chorus Community Health Plan | Managed Medicaid | $11.07 |
| Anthem | Managed Medicaid | $11.27 |
| COMMUNITY CARE | Managed Medicaid | $11.27 |
| ICARE | Managed Medicaid | $11.27 |
| Managed Health Service | Managed Medicaid | $11.27 |
| My Choice | SSI Managed Medicaid | $11.27 |
| Molina Health | Managed Medicaid | $11.61 |
| My Choice | BadgerChoice Plus Managed Medicaid | $11.83 |
| Trilogy | Managed Medicaid | $11.83 |
| Healthpartners | Select | $29.52 |
| AETNA | Medicare | $57.30 |
| ANTHEM | Managed Medicare | $57.30 |
| COMMUNITY CARE | Medicare Advantage | $57.30 |
| HUMANA | Medicare Advantage | $57.30 |
| ICARE | Managed Medicare | $57.30 |
| Managed Health Service | Medicare Advantage | $57.30 |
| My Choice | Medicare Advantage | $57.30 |
| Network Health | Medicare Advantage | $57.30 |
| Security Health Plan | Medicare Advantage | $57.30 |
| Healthpartners | Focus | $58.38 |
| Healthpartners | Broad | $63.11 |
| Chorus Community Health Plan | ALL PRODUCTS | $115 |
| Aspirus Arise | ALL PRODUCTS | $120 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $125 |
| HPS/Paymedix | Medical Rental Network Tier 1 | $129 |
| Network Health | ALL PRODUCTS | $129 |
| Security Health Plan | All Products | $136 |
| HPS/PayMedix | Medical Rental Network Tier 2 | $139 |
| Evernorth | Behavioral Health | $143 |
| HEALTHSMART | Medical Rental Network | $143 |
Inpatient
$60.65cash price (self-pay)
$179list price
$84.23–$203range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $126 |
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