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EKG tracing at Sanford Jackson Hospital. CPT 93005.

What Sanford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated March 4, 2026.

Outpatient / ER

$301cash price (self-pay)
$376list price
$62.37–$353range insurers pay
Insurance planNegotiated rate
Ucare | Medicaid Managed Care$62.37
Blue Cross Blue Shield of Minnesota | PMAP$79.75
Sanford Health Plan Align | Medicare Replacement$118
Ucare | Medicare Replacement$127
Wellmark SD | Medicare Replacement$127
Aetna | Medicare Replacement$128
Great Plains Medicare Advantage | Medicare Replacement$128
Health Partners | Medicare Replacement$128
United Healthcare | Medicare Replacement$128
Primewest | Medicare Replacement$130
Blue Cross Blue Shield of Minnesota | Medicare Replacement$130
Primewest | Medicaid Managed Care$141
Blue Cross Blue Shield of Minnesota | Commercial/Federal$160
Blue Cross Blue Shield of Minnesota | State Employees$160
Sanford Health Plan | Group Health/True$201
Sanford Health Plan | SD Exchange True$201
Security Health Plan | Commercial$207
Sanford Health Plan | Commercial/ND Pers$237
Sanford Health Plan | SD Exchange Commercial$237
Health Partners | State Employees$259
Health Partners | Commercial$301
United Healthcare | Commercial + Top 20$314
Aetna | Commercial$327
Ucare | Commercial$330
Medica | Choice$331
Cigna | Commercial$338
First Choice Health Network | Commercial$338
Healthez | Commercial$338
Multiplan | Commercial$338
Medica | Elect$353

Inpatient

$301cash price (self-pay)
$376list price
$201–$356range insurers pay
Insurance planNegotiated rate
Sanford Health Plan | Group Health/True$201
Sanford Health Plan | SD Exchange True$201
Security Health Plan | Commercial$207
Sanford Health Plan | Commercial/ND Pers$237
Sanford Health Plan | SD Exchange Commercial$237
Health Partners | State Employees$259
Health Partners | Commercial$301
United Healthcare | Commercial + Top 20$314
Aetna | Commercial$327
Ucare | Commercial$330
Medica | Choice$332
Cigna | Commercial$338
First Choice Health Network | Commercial$338
Healthez | Commercial$338
Multiplan | Commercial$338
Medica | Elect$356
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All common services at Sanford Jackson Hospital