EKG tracing at SSM Health St. Agnes Hospital - Fond du Lac. CPT 93005.
What SSM Health St. Agnes Hospital - Fond du Lac publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$172cash price (self-pay)
$312list price
$43.76–$113range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MOLINA | Medicare Managed Care Plan | $43.76 |
| BCBS | Anthem Medicare Managed Care Plan | $58.35 |
| Wellcare | Medicare Managed Care Plan | $59.52 |
| DOC | Government | $113 |
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All common services at SSM Health St. Agnes Hospital - Fond du Lac