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
PR Ekg for Initial Prevent Exam With 12 Leads
Low
$2
Average
$62
Median
$23
High
$996
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
174 hospitals; the 90th percentile is 13.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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235 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 3 | $23 | $19 | $4 | 22% | 22–40 | $14 – $23 |
| 2 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 3 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $33 | $33 | $15 | 47% | — | $15 – $48 |
| 6 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $19 | $19 | $6 | 32% | — | $13 – $25 |
| 8 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 9 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 2 | $13 | $13 | $0 | 1% | — | $13 – $13 |
| 10 | Bath Community Hospital Hot Springs, VA fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 3 | $1 | $1 | $1 | 89% | — | $1 – $3 |
| 12 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 3 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 13 | Black River Health Inc Black River Falls, WI facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 14 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 15 | Black River Health Inc Black River Falls, WI professional · fee schedule · both | 2 | $66 | $66 | $52 | 79% | — | $14 – $118 |
| 16 | Blue Hill Memorial Hospital Hill, ME facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 3 | $27 | $22 | $7 | 30% | — | $13 – $27 |
| 18 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 19 | Boulder Community Health Lafayette, CO facility · fee schedule · outpatient | 2 | $18 | $21 | $10 | 47% | — | $15 – $46 |
| 20 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 3 | $18 | $20 | $3 | 16% | — | $16 – $25 |
| 21 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 2 | $54 | $54 | $40 | 74% | — | $14 – $94 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 2 | $67 | $67 | $53 | 79% | — | $14 – $120 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 2 | $50 | $50 | $36 | 72% | — | $14 – $85 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 2 | $95 | $95 | $81 | 85% | — | $14 – $176 |
← Payers reporting HCPCS G0403 · Snapshot 20261111T120946Z-9134e7f7