EKG tracing at Intermountain Health Logan Regional Hospital. CPT 93005.
What Intermountain Health Logan Regional Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$164cash price (self-pay)
$219list price
$5.94–$210range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Adv HMO | $5.94 |
| Aetna | Medicare Adv PPO | $5.94 |
| American Health | Medicare Adv UT HMO I-SNP | $5.94 |
| Health Partners of Nevada | Medicare Advantage | $5.94 |
| Healthy U | Medicaid | $5.94 |
| Humana | Medicare Choice PPO | $5.94 |
| Molina | Medicaid | $5.94 |
| Molina | Medicare Advantage | $5.94 |
| Molina | Medicare Choice Care HMO | $5.94 |
| Molina | Medicare Complete Care HMO SNP | $5.94 |
| Regence BCBS | MedAdvantage PPO | $5.94 |
| SelectHealth | Medicare Advantage | $5.94 |
| Southwest Behavioral Health | Behavioral Health | $5.94 |
| UHC | Medicare Advantage | $5.94 |
| Health Plan of Nevada | Medicaid | $32.41 |
| SelectHealth | Medicaid | $32.41 |
| Intermountain Caregiver Plan | Share Network | $52.95 |
| Intermountain Caregiver Plan | Med Network | $53.12 |
| Donor Connect | Other | $58.17 |
| EMI | Commercial | $152 |
| Deseret Mutual | All Other | $152 |
| Deseret Mutual | Select | $152 |
| Campbell Scientific | Commercial | $153 |
| Franklin County | Commercial | $153 |
| CorVel Corporation | Workers Comp | $164 |
| Corporation of the President | Workers Comp | $164 |
| AWH Connected | Connected Utah | $170 |
| EMI Health | Mint | $176 |
| EMI Health | Network Care | $176 |
| AG Administrators | USU Athletics | $186 |
Inpatient
$164cash price (self-pay)
$219list price
$4.59–$208range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $4.59 |
| Health Plan of Nevada | Medicaid | $65.61 |
| Intermountain Caregiver Plan | Med Network | $92.73 |
| Intermountain Caregiver Plan | Share Network | $92.73 |
| Campbell Scientific | Commercial | $153 |
| Franklin County | Commercial | $153 |
| Juniper Systems | Commercial | $153 |
| LW Miller | Commercial | $153 |
| CorVel Corporation | Workers Comp | $164 |
| Corporation of the President | Workers Comp | $164 |
| Injury Care of Nevada | Workers Comp | $164 |
| AG Administrators | USU Athletics | $186 |
| Altius MHNet Behavioral Health | Behavioral Health | $186 |
| BYU Athletics | Commercial | $186 |
| BYU Risk Management | Workers Comp | $186 |
| Cigna | Open Access Flex | $186 |
| Global Excel | Commercial | $186 |
| MedCare International | Commercial | $186 |
| AWH Connected | Connected Utah | $187 |
| Deseret Mutual | All Other | $187 |
| Deseret Mutual | Select | $187 |
| EMI Health | Mint | $187 |
| EMI Health | Network Care | $187 |
| EMI | Commercial | $187 |
| Managed Care Admin | Commercial | $187 |
| PEHP | Advantage Non-State | $187 |
| PEHP | Advantage State | $187 |
| PEHP | Capital Care | $187 |
| Aetna | Connected | $208 |
| Aetna | Extended | $208 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Intermountain Health Logan Regional Hospital