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
$12
Average
$30
Median
$17
High
$197
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 3.6× 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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58 hospital rates
iThe hospitals that file a Ucare 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 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $15 | $18 | $7 | 38% | — | $11 – $27 |
| 2 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $15 | $18 | $7 | 38% | — | $11 – $27 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $15 | $18 | $7 | 38% | — | $11 – $27 |
| 4 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 4 | $25 | $24 | $12 | 50% | — | $10 – $37 |
| 5 | Fairview Health Services Edina, MN fee schedule · both | 4 | $25 | $24 | $12 | 50% | — | $10 – $37 |
| 6 | Fairview Health Services Minneapolis, MN fee schedule · both | 6 | $25 | $24 | $13 | 53% | — | $10 – $37 |
| 7 | Fairview Health Services Burnsville, MN fee schedule · both | 4 | $25 | $24 | $12 | 50% | — | $10 – $37 |
| 8 | Fairview Health Services Wyoming, MN fee schedule · both | 4 | $25 | $24 | $12 | 50% | — | $10 – $37 |
| 9 | Fairview Health Services Princeton, MN fee schedule · both | 4 | $25 | $24 | $12 | 50% | — | $10 – $37 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 3 | $35 | $28 | $12 | 45% | — | $10 – $37 |
| 11 | Grand Itasca Clinic and Hospital Grand Rapids, MN professional · fee schedule · both | 3 | $14 | $19 | $9 | 49% | — | $11 – $32 |
| 12 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 4 | $25 | $24 | $12 | 50% | — | $10 – $37 |
| 13 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · both | 4 | $25 | $24 | $12 | 50% | — | $10 – $37 |
| 14 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 4 | $14 | $15 | $2 | 13% | — | $12 – $17 |
| 17 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $245 | $239 | $9 | 4% | — | $227 – $245 |
| 18 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 3 | $13 | $14 | $2 | 15% | — | $12 – $17 |
| 19 | Mayo Clinic Health System Lake City 55041-1143 professional · fee schedule · outpatient | 2 | $13 | $13 | $0 | 4% | — | $12 – $13 |
| 20 | Mayo Clinic Health System Saint James 56081-5550 professional · fee schedule · outpatient | 3 | $13 | $14 | $2 | 15% | — | $12 – $17 |
| 21 | Mayo Clinic Health System Menomonie, WI professional · fee schedule · outpatient | 2 | $12 | $12 | $0 | 4% | — | $12 – $13 |
| 22 | Mayo Clinic Health System St, NE professional · fee schedule · outpatient | 3 | $13 | $14 | $2 | 15% | — | $12 – $17 |
| 23 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 24 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 3 | $13 | $14 | $2 | 15% | — | $12 – $17 |
| 25 | Mayo Clinic Health System Bloomer, WI professional · fee schedule · outpatient | 2 | $12 | $12 | $0 | 4% | — | $12 – $13 |
← Payers reporting HCPCS G0403 · Snapshot 20261111T120946Z-9134e7f7