EKG tracing at Fairview Bethesda Hospital. CPT 93005.
What Fairview Bethesda Hospital publishes for this service, straight from its standard-charges file, last updated January 29, 2026.
Outpatient / ER
$82.41cash price (self-pay)
$221list price
$4.23–$201range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $54.61 |
| Itasca Medical Care | Managed Medicaid | $55.40 |
| Primewest | Managed Medicaid | $55.40 |
| South Country Health Alliance | PMAP | $55.40 |
| Health Partners | PMAP | $55.58 |
| Itasca Medical Care | Medicare Advantage/MSHO | $59.13 |
| Primewest | MSHO | $59.13 |
| Sanford Health Plan | Medicare Advantage | $59.13 |
| Security Health Plan | Medicare Advantage | $59.13 |
| South Country Health Alliance | Medicare Advantage | $59.13 |
| United Healthcare | Medicare Advantage | $59.13 |
| WellCare | Medicare Advantage | $59.13 |
| Hennepin Health | PMAP | $59.83 |
| UCare | Medicare Advantage/MSHO | $60.02 |
| UCare | PMAP | $60.11 |
| Blue Cross of Minnesota | Managed Medicaid | $60.91 |
| Blue Cross of Minnesota | Medicare Advantage | $61.50 |
| Medica | Medicare Advantage | $62.68 |
| Health Partners | Medicare Advantage | $62.68 |
| Medica | Minnesota Care/AccessAbility/Choice Care Government | $78.27 |
| Medica | MSHO | $95.40 |
| UCare | Individual and Family with M Health Fairview | $104 |
| United Healthcare | Core | $117 |
| United Healthcare | Commercial | $126 |
| Blue Cross of Minnesota | Aware Federal | $128 |
| Blue Cross of Minnesota | Commercial | $130 |
| Health Partners | Federal | $130 |
| Health Partners | Commercial | $133 |
| America's PPO | EZCare | $133 |
| America's PPO | Health EZ | $133 |
Inpatient
$82.41cash price (self-pay)
$221list price
$54.95–$201range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | Managed Medicaid | $59.16 |
| Health Partners | Medicare Cost | $73.00 |
| Health Partners | PMAP | $74.31 |
| Medica | Minnesota Care/AccessAbility/Choice Care Government | $78.76 |
| Medica | MSHO | $88.94 |
| UCare | PMAP | $92.61 |
| America's PPO | EZCare | $115 |
| United Healthcare | Core | $117 |
| Blue Cross of Minnesota | Aware Federal | $124 |
| United Healthcare | Commercial | $126 |
| Blue Cross of Minnesota | Commercial | $127 |
| Sanford Health Plan | Commercial | $130 |
| America's PPO | Health EZ | $131 |
| Medica | BOLD | $135 |
| Medica | City of St Paul and Essential/Uplan | $135 |
| Medica | Vantage SI | $135 |
| Health Partners | Federal | $135 |
| Health Partners | Commercial | $138 |
| America's PPO | Commercial | $141 |
| Health Partners | Cigna Commercial | $145 |
| Medica | Choice | $150 |
| Medica | Individual and Family, Elect | $150 |
| Security Health Plan | Commercial | $166 |
| Health Partners | Cigna Great West | $172 |
| First Health | Commercial | $181 |
| MultiPlan | Commercial | $188 |
| Private Healthcare Systems | Commercial | $188 |
| Wisconsin Physician Services | Commercial | $199 |
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