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
ELECTROCARDIOGRAM, ROUTINE ECG WITH 12 LEADS; TRACING ONLY, WITHOUT INTERPRETATION AND REPORT, PERFORMED AS A SCREENING FOR THE INITIAL PREVENTIVE PHYSICAL EXAMINATION
Low
$0
Average
$104
Median
$96
High
$658
Each hospital's average First Health rate, under the methodology and billing class chosen below.
165 hospitals; the 90th percentile is 11.6× 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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256 hospital rates
iThe hospitals that file a First Health 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 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 5 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 6 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 7 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 8 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 9 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 10 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 11 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 12 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $234 | — | — | — | $234 – $234 |
| 13 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 14 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 15 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 16 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 17 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 18 | Baylor Scott & White Continuing Care Hospital Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 19 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 20 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 21 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 22 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 23 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 24 | Baylor Scott & White McLane Children's Medical Center Temple, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 25 | Baylor Scott & White Medical Center - Austin Austin, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $121 | $121 | — | — | — | $121 – $121 |
← Payers reporting HCPCS G0404 · Snapshot 20261111T120946Z-9134e7f7