EKG tracing at M Health Fairview Southdale Hospital. CPT 93005.
What M Health Fairview Southdale Hospital publishes for this service, straight from its standard-charges file, last updated February 6, 2026.
Outpatient / ER
$16.31cash price (self-pay)
$220list price
$4.23–$312range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Managed Medicaid/AccessAbility | $13.52 |
| Medica | MSHO/Medicare Advantage SNP | $14.62 |
| Medica | Bold | $25.04 |
| Medica | City of St. Paul/Essential-Uplan | $25.91 |
| Medica | Vantage Self Insured | $27.21 |
| Medica | Individual and Family Business Except ACO | $27.83 |
| Medica | Choice | $28.79 |
| Health Partners | Medicare Cost | $50.80 |
| Health Partners | PMAP | $51.71 |
| Blue Cross of Minnesota | PMAP | $53.02 |
| Itasca Medical Care | Managed Medicaid | $55.40 |
| Primewest | Managed Medicaid | $55.40 |
| South Country Health Alliance | PMAP | $55.40 |
| 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 |
| Hennepin Health | PMAP | $59.83 |
| UCare | Medicare Advantage/MSHO | $60.02 |
| UCare | PMAP | $60.11 |
| Blue Cross of Minnesota | Medicare Advantage | $61.50 |
| Medica | Medicare Advantage Non-SNP | $62.68 |
| Health Partners | Medicare Advantage | $62.68 |
| Health Partners | Federal | $105 |
| UCare | Individual and Family with M Health Fairview | $105 |
| Health Partners | Commercial | $107 |
| Health Partners | Cigna Commercial | $112 |
| Blue Cross of Minnesota | Aware Federal | $127 |
| Blue Cross of Minnesota | Aware/Blue Plus | $129 |
Inpatient
$82.41cash price (self-pay)
$220list price
$107–$201range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| America's PPO | EZCare | $115 |
| Sanford Health Plan | Commercial | $130 |
| America's PPO | Health EZ | $130 |
| America's PPO | Commercial | $141 |
| Security Health Plan | Commercial | $165 |
| First Health | Commercial | $181 |
| MultiPlan | Commercial | $187 |
| Private Healthcare Systems | Commercial | $187 |
| Wisconsin Physician Services | Commercial | $198 |
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