EKG tracing at Black River Memorial Hospital. CPT 93005.
What Black River Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 8, 2026.
Outpatient / ER
$134cash price (self-pay)
$219list price
$16.41–$271range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem BCBS | Medicaid | $16.41 |
| Group Health Cooperative of Eau Claire | Medicaid | $16.41 |
| My Choice Wisconsin, Inc. | Medicaid SSI | $16.41 |
| Quartz Health Solutions, Inc | Medicaid/BadgerCare | $16.41 |
| My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Me | $46.20 |
| Humana | Medicare Advantage | $112 |
| Anthem BCBS | Medicare Advantage | $112 |
| My Choice Wisconsin, Inc. | Medicare Dual Advantage | $112 |
| Quartz Health Solutions, Inc | Senior Preferred | $112 |
| Security Health Plan | Badgercare Plus | $112 |
| Security Health Plan | Medicare Advantage | $112 |
| United Health Care | Medicare Advantage | $112 |
| United Health Care | VA Plan | $112 |
| Corvel | Automobile liability / Accident & Health | $134 |
| Corvel | Workers' Compensation | $134 |
| Security Health Plan | EPO | $183 |
| The Alliance | Worker's Compensation | $186 |
| Triology Health Solutions | Health Plan | $197 |
| Quartz Health Solutions, Inc | Commercial / Self-Insured | $199 |
| Humana | Commercial | $204 |
| The Alliance | Health Plan | $204 |
| Medica | Health Plan | $205 |
| Security Health Plan | Commercial | $205 |
| United Health Care | Commercial | $207 |
| Association Benefits Solution | Health Plan | $208 |
| First Health Group Corporation | MultiPlan PPC Network | $208 |
| Provider Network of America | Health Plan | $208 |
| Triology Health Solutions | Workers Compensation | $208 |
| Family Health Center of Marshfield | Health Plan | $208 |
| Cofinity | Cofinity Health Plan | $212 |
Inpatient
$134cash price (self-pay)
$219list price
$16.41–$271range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| The Alliance | Health Plan | $210 |
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