EKG tracing at HSHS St. Mary's Hospital Medical Center. CPT 93005.
What HSHS St. Mary's Hospital Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$187cash price (self-pay)
$283list price
$11.36–$283range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Antehm Medicaid | $11.36 |
| Community Care Family Care | Community Care Family Care Medicaid Manag | $11.36 |
| Continuus Medicaid Managed | Continuus Medicaid Managed | $11.36 |
| Managed Health Services | Managed Health Services Medicaid | $11.36 |
| Meridian Health Plan | Meridian HMO Mcd | $11.36 |
| Molina Healthcare | Molina Medicaid | $12.04 |
| Aetna | Aetna Medicare | $57.60 |
| Anthem | Anthem Medicare Advantage HMO | $57.60 |
| Humana | Humana Medicare Advantage | $57.60 |
| Medicare Managed | Managed Medicare No Sequestration | $57.60 |
| Molina Healthcare | Molina Medicare | $57.60 |
| Naphcare | All Commerical Naphcare | $130 |
| Hshs Employees | Hshs Employees | $138 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $142 |
| P360 Small Group | Prevea 360 Small Group Commercial Plan | $145 |
| Prevea Health Network | Prevea Employees | $145 |
| Prevea Health Network | Prevea360 | $145 |
| Prevea Health Network | Prevea360 - Network | $145 |
| Humana | Humana Choice Care HMO | $180 |
| Humana | Humana Natiional POS HMO | $180 |
| Anthem | Anthem POS/HMO | $192 |
| Anthem | Anthem PPO | $192 |
| Cigna | All Commercial Cigna | $198 |
| Health Eos | All Commercial Health Eos | $201 |
| Healthsmart | All Commercial Healthsmart | $207 |
| Interplan | All Commercial Interplan Health Group | $207 |
| Network Health Plan | All Commerical Network Health Plan | $212 |
| Health Care Alliance | The Alliance | $238 |
| Multiplan/Phcs | All Commercial Multiplan | $238 |
| Choicecare | All Commercial Choice Care | $241 |
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All common services at HSHS St. Mary's Hospital Medical Center