EKG tracing at Grand Itasca Clinic and Hospital. CPT 93005.
What Grand Itasca Clinic and Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$12.47cash price (self-pay)
$221list price
$4.23–$396range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Itasca Medical Care | Managed Medicaid | $55.40 |
| Primewest | Managed Medicaid | $55.40 |
| Itasca Medical Care | Medicare Advantage/MSHO | $59.78 |
| Primewest | MSHO | $59.78 |
| Sanford Health Plan | Medicare Advantage | $59.78 |
| Security Health Plan | Medicare Advantage | $59.78 |
| UCare | Medicare Advantage/MSHO | $59.78 |
| United Healthcare | Medicare Advantage | $59.78 |
| WellCare | Medicare Advantage | $59.78 |
| Blue Cross of Minnesota | Medicare Advantage | $62.17 |
| Health Partners | Medicare Advantage | $63.37 |
| Medica | Medicare Advantage Non-SNP | $63.37 |
| UCare | PMAP | $63.71 |
| Medica | Managed Medicaid | $75.90 |
| Medica | AccessAbility | $82.94 |
| Medica | MSHO-Dual/Medicare Advantage SNP | $90.20 |
| Health Partners | Medicare Cost | $115 |
| Health Partners | PMAP | $117 |
| UCare | Individual and Family Plans | $117 |
| Sanford Health Plan | Commercial | $130 |
| United Healthcare | Commercial | $144 |
| Blue Cross of Minnesota | PMAP | $162 |
| Security Health Plan | Commercial | $166 |
| Health Partners | Federal | $181 |
| First Health | Commercial | $181 |
| Medica | Commercial | $183 |
| Health Partners | Commercial | $184 |
| MultiPlan | Commercial | $188 |
| Private Healthcare Systems | Commercial | $188 |
| Health Partners | Cigna Commercial | $193 |
Inpatient
$12.47cash price (self-pay)
$221list price
$13.35–$222range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $101 |
| Health Partners | PMAP | $102 |
| Sanford Health Plan | Commercial | $130 |
| Security Health Plan | Commercial | $166 |
| Health Partners | Federal | $173 |
| Health Partners | Commercial | $176 |
| United Healthcare | Commercial | $177 |
| First Health | Commercial | $181 |
| Medica | Commercial | $184 |
| Health Partners | Cigna Commercial | $185 |
| MultiPlan | Commercial | $188 |
| Private Healthcare Systems | Commercial | $188 |
| Wisconsin Physician Services | Commercial | $199 |
| America's PPO | Commercial/EZCare/Health EZ | $203 |
| Health Partners | Cigna Great West | $220 |
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