EKG tracing at Gundersen St. Josephs Hospital and Clinic. CPT 93005.

What Gundersen St. Josephs Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.

Outpatient / ER

$77.85cash price (self-pay)

$148list price

$11.76–$143range insurers pay

Insurance plan	Negotiated rate
Amerigroup \| Medicaid HMO	$11.76
Quartz \| All Products	$62.60
Quartz \| All Other Self Funded	$65.12
Anthem \| Medicaid	$67.33
Dean Health Plan \| Medicaid_Badgercare	$67.33
Group Health Eau Claire \| Medicaid HMO	$67.33
Group Health of South Central \| Medicaid HMO	$67.33
Iowa Total Care \| Medicaid	$67.33
Quartz \| Medicaid_Badgercare	$67.33
Quartz \| Self Funded	$69.56
Quartz \| Level Funded	$71.78
Managed Health Service \| Managed Medicaid	$73.93
Anthem \| Medicare HMO/PPO	$75.48
Dean Health Plan \| Medicare Select	$75.48
Humana \| Medicare Advantage	$75.48
Quartz \| Medicare Advantage	$75.48
UCARE \| Dually Eligible	$75.48
UHC \| Medicare Advantage	$75.48
UCARE \| Non-Dually Eligible	$76.96
UCARE \| MSHO/Minnesota Special Needs	$76.96
Quartz \| Fully Insured	$80.66
UHC \| All Payer Appendix	$103
Anthem \| State Specific	$108
Anthem \| HMO/POS	$108
Anthem \| PPO	$108
Cigna \| All Products	$114
Alliance \| Premier/All Products	$118
Group Health of South Central \| All Products	$118
Trilogy \| All Products	$118
UCARE \| Qualified Health Plan	$118

$77.85cash price (self-pay)

$148list price

$62.60–$141range insurers pay

Insurance plan	Negotiated rate
Quartz \| All Other Self Funded	$87.17

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