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
$5
Average
$109
Median
$69
High
$426
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
65 hospitals; the 90th percentile is 13.8× 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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110 hospital rates
iThe hospitals that file a Healthpartners 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 2 | Amery Hospital Amery, WI facility · case rate · both | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 2 | $204 | $204 | $24 | 12% | — | $180 – $227 |
| 6 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 7 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 8 | Aurora Medical Center Kenosha Kenosha, WI case rate · outpatient | 2 | $204 | $204 | $24 | 12% | — | $180 – $227 |
| 9 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · inpatientfrom % of charges | 1 | $323 | $323 | — | — | — | $323 – $323 |
| 10 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $323 | $323 | — | — | — | $323 – $323 |
| 11 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI case rate · outpatient | 2 | $204 | $204 | $24 | 12% | — | $180 – $227 |
| 12 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · inpatientfrom % of charges | 1 | $323 | $323 | — | — | — | $323 – $323 |
| 13 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 1 | $323 | $323 | — | — | — | $323 – $323 |
| 14 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 2 | $204 | $204 | $24 | 12% | — | $180 – $227 |
| 15 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 16 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 17 | Aurora St Lukes South Shore of Aurora Health Care Metro Inc Cudahy, WI case rate · outpatient | 2 | $204 | $204 | $24 | 12% | — | $180 – $227 |
| 18 | Aurora St Lukes South Shore of Aurora Health Care Metro Inc Cudahy, WI percent of total billed charges · inpatientfrom % of charges | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 19 | Aurora St Lukes South Shore of Aurora Health Care Metro Inc Cudahy, WI percent of total billed charges · outpatientfrom % of charges | 1 | $428 | $428 | — | — | — | $428 – $428 |
| 20 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 21 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · inpatientfrom % of charges | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 22 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 23 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 1 | $426 | $426 | — | — | — | $426 – $426 |
| 24 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $426 | $426 | — | — | — | $426 – $426 |
| 25 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 1 | $255 | $255 | — | — | — | $255 – $255 |
← Payers reporting HCPCS G0404 · Snapshot 20261111T120946Z-9134e7f7