EKG tracing at Sanford Luverne Medical Center. CPT 93005.
What Sanford Luverne Medical Center publishes for this service, straight from its standard-charges file, last updated March 4, 2026.
Outpatient / ER
$181cash price (self-pay)
$226list price
$62.37–$214range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ucare | Medicaid Managed Care | $62.37 |
| Sanford Health Plan Align | Medicare Replacement | $79.55 |
| Blue Cross Blue Shield of Minnesota | PMAP | $79.75 |
| Ucare | Medicare Replacement | $85.20 |
| Aetna | Medicare Replacement | $86.11 |
| Blue Cross Blue Shield of Minnesota | Medicare Replacement | $86.11 |
| Great Plains Medicare Advantage | Medicare Replacement | $86.11 |
| Health Partners | Medicare Replacement | $86.11 |
| United Healthcare | Medicare Replacement | $86.11 |
| Primewest | Medicare Replacement | $87.80 |
| Primewest | Medicaid Managed Care | $107 |
| Sanford Health Plan | Group Health/True | $121 |
| Sanford Health Plan | SD Exchange True | $121 |
| Security Health Plan | Commercial | $124 |
| Sanford Health Plan | Commercial/ND Pers | $142 |
| Sanford Health Plan | SD Exchange Commercial | $142 |
| Health Partners | State Employees | $156 |
| Blue Cross Blue Shield of Minnesota | Commercial/Federal | $160 |
| Blue Cross Blue Shield of Minnesota | State Employees | $160 |
| Health Partners | Commercial | $181 |
| United Healthcare | Commercial + Top 20 | $189 |
| Aetna | Commercial | $196 |
| Ucare | Commercial | $199 |
| Medica | Choice | $199 |
| Cigna | Commercial | $203 |
| First Choice Health Network | Commercial | $203 |
| Healthez | Commercial | $203 |
| Multiplan | Commercial | $203 |
| Medica | Elect | $214 |
Inpatient
$181cash price (self-pay)
$226list price
$121–$214range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford Health Plan | Group Health/True | $121 |
| Sanford Health Plan | SD Exchange True | $121 |
| Security Health Plan | Commercial | $124 |
| Sanford Health Plan | Commercial/ND Pers | $142 |
| Sanford Health Plan | SD Exchange Commercial | $142 |
| Health Partners | State Employees | $156 |
| Health Partners | Commercial | $181 |
| Blue Cross Blue Shield of Minnesota | State Employees | $185 |
| United Healthcare | Commercial + Top 20 | $189 |
| Aetna | Commercial | $196 |
| Ucare | Commercial | $199 |
| Medica | Choice | $200 |
| Cigna | Commercial | $203 |
| First Choice Health Network | Commercial | $203 |
| Healthez | Commercial | $203 |
| Multiplan | Commercial | $203 |
| Medica | Elect | $214 |
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