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
EKG W/O INTER/REPORT IPPE
Low
$0
Average
$114
Median
$45
High
$526
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 152 hospitals; the 90th percentile is 16.5× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Samaritan Medical Center Watertown, NY | $30 | $29 | $3 | 10% | 14–41 | $24 – $166 |
| 2 | St Luke's Regional Medical Center, LTD Boise, ID | $22 | $22 | $10 | 43% | 5–50 | $12 – $146 |
| 3 | Samaritan Hospital Troy, NY | $83 | $64 | $22 | 34% | 3–30 | $6 – $83 |
| 4 | Saint Alphonsus Regional Medical Center - Boise Boise, ID | $32 | $42 | $18 | 44% | 2–20 | $25 – $109 |
| 5 | Mercy Health Services-Iowa Corp. Mason City, IA | $32 | $39 | $11 | 29% | 2–20 | $10 – $350 |
| 6 | St Joseph Mercy Ann Arbor Ypsilanti, MI | $29 | $34 | $10 | 28% | 1–10 | $6 – $86 |
| 7 | Mercy Health Hackley Campus Muskegon, MI | $31 | $33 | $7 | 20% | 1–10 | $12 – $48 |
| 8 | Mercy Health Saint Marys Grand Rapids, MI | $29 | $31 | $6 | 20% | 1–10 | $12 – $100 |
| 9 | Plymouth Medical Center Plymouth, IN | $108 | $91 | $29 | 31% | 1–10 | $16 – $136 |
| 10 | Benefis Hospitals Inc Falls, MT | $30 | $36 | $18 | 50% | 1–10 | $24 – $86 |
Ask Claude or any MCP client for HCPCS G0404 pricing at a specific hospital — see how to connect.