CPT 0904T
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Ecg alg 12 ld rdcd trcg only
Low
$17
Average
$68
Median
$61
High
$206
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 3.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 93 | $59 | $66 | $76 | 116% | — | $15 – $887 |
| 2 | Humana facility · case rate · outpatient · +1 other terms | 65 | $60 | $59 | $11 | 20% | — | $17 – $76 |
| 3 | Aetna facility · case rate · outpatient · +1 other terms | 64 | $62 | $65 | $18 | 27% | — | $17 – $131 |
| 4 | Molina facility · case rate · outpatient · +2 other terms | 55 | $46 | $52 | $24 | 46% | — | $15 – $124 |
| 5 | Anthem facility · case rate · outpatient · +1 other terms | 44 | $81 | $113 | $79 | 70% | — | $14 – $273 |
| 6 | Cigna facility · case rate · outpatient · +1 other terms | 39 | $69 | $126 | $103 | 81% | — | $54 – $322 |
| 7 | Blue Cross Blue Shield facility · case rate · outpatient · +1 other terms | 33 | $60 | $69 | $20 | 29% | — | $54 – $136 |
| 8 | WellCare facility · case rate · outpatient · +1 other terms | 31 | $63 | $67 | $14 | 21% | — | $17 – $90 |
| 9 | Ambetter facility · case rate · outpatient · +1 other terms | 23 | $120 | $122 | $29 | 24% | — | $55 – $152 |
| 10 | Caresource facility · case rate · outpatient · +1 other terms | 21 | $25 | $47 | $36 | 76% | — | $14 – $121 |
← Hospitals reporting CPT 0904T · Snapshot 20261113T090226Z-3ce6c0b8