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
$6
Average
$48
Median
$15
High
$1.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
130 hospitals; the 90th percentile is 1.5× 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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164 hospital rates
iThe hospitals that file a WellCare 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 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $16 | $16 | $0 | 2% | — | $16 – $16 |
| 4 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 6 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 7 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 8 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 9 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 10 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 12 | Blue Hill Memorial Hospital Hill, ME facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 13 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $15 | $15 | — | — | — | $15 – $15 |
| 17 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 19 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 20 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 21 | Central Community Hospital Elkader, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 22 | Central Community Hospital Elkader, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 23 | Charles A. Dean Memorial Hospital Greenville, ME facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 24 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 25 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Payers reporting HCPCS G0403 · Snapshot 20261111T120946Z-9134e7f7