EKG tracing at Maple Grove Hospital. CPT 93005.
What Maple Grove Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$98.02cash price (self-pay)
$186list price
$41.13–$149range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners [1061] | Mgh Hp Govt Msho | $41.13 |
| Blue Cross [1021] | Mgh BCBS Pmap | $47.10 |
| Medicaid [1087] | Mgh Medicaid Mn | $53.65 |
| Blue Cross [1021] | Mgh BCBS Msho | $60.09 |
| Humana [2203] | Mgh Humana Med Adv | $60.09 |
| Medicare [1088] | Mgh Medicare | $60.09 |
| Ucare [1148] | Mgh Ucare Pmap | $60.09 |
| Health Partners [1061] | Mgh Hp Med Adv | $60.21 |
| Medica [1086] | Mgh Medica Med Adv | $60.69 |
| Medica [1086] | Medica Choice Care | $61.19 |
| Ucare [1148] | Mgh Ucare Med Adv | $61.89 |
| Blue Cross [1021] | Mgh BCBS Med Adv | $61.89 |
| Ucare [1148] | Mgh Ucare Msho | $61.89 |
| United Healthcare [2204] | Mgh UHC Med Adv | $62.49 |
| Allina Health-Aetna [2201] | Mgh Allina Health Aetna Medicare | $65.28 |
| Medica [1086] | Mgh Medica Msho | $67.07 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Federal | $106 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Aware | $108 |
| Ucare [1148] | Mgh Ucare Ifb | $110 |
| Cigna Health Partners [1242] | Mgh Hp Cigna | $113 |
| Health Partners [1061] | Mgh Hp Federal | $113 |
| Health Partners [1061] | Mgh Hp Comm | $113 |
| America'S PPO [1010] | America'S PPO Healthez Reimbursement Contract | $126 |
| Medica [1086] | Medica Acclaim | $127 |
| Medica [1086] | Medica Fv Nm - Aco Vantage | $131 |
| America'S PPO [1010] | America'S PPO Reimbursement Contract | $134 |
| AETNA [2200] | Aetna Commercial/First Health | $140 |
| Phcs [1172] | Phcs Reimbursement Contract | $140 |
| MEDICA [1086] | MEDICA COMMERCIAL (With WH) | $140 |
| Multiplan [1176] | Multiplan Reimbursement Contract | $149 |
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