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
$6
Average
$80
Median
$71
High
$322
Each hospital's average Medica rate, under the methodology and billing class chosen below.
120 hospitals; the 90th percentile is 11.2× 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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218 hospital rates
iThe hospitals that file a Medica 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 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $16 | $25 | $14 | 57% | 2–20 | $13 – $44 |
| 2 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $37 | $38 | $21 | 56% | — | $16 – $60 |
| 3 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $28 | $35 | $21 | 58% | — | $11 – $60 |
| 4 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $37 | $38 | $21 | 56% | — | $16 – $60 |
| 5 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $22 | $34 | $21 | 62% | — | $8 – $60 |
| 6 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 4 | $37 | $38 | $21 | 56% | — | $16 – $60 |
| 7 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 5 | $20 | $33 | $21 | 65% | — | $6 – $60 |
| 8 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 4 | $37 | $38 | $21 | 56% | — | $16 – $60 |
| 9 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 5 | $25 | $34 | $21 | 60% | — | $9 – $60 |
| 10 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 11 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 12 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $153 | $147 | $55 | 37% | — | $78 – $206 |
| 13 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $5 | $6 | $3 | 47% | — | $4 – $11 |
| 14 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $5 | $6 | $3 | 47% | — | $4 – $11 |
| 15 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $19 | $19 | $8 | 41% | — | $11 – $27 |
| 16 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | $1 | 8% | — | $13 – $15 |
| 17 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · inpatientfrom % of charges | 2 | $314 | $314 | $29 | 9% | — | $285 – $343 |
| 18 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 2 | $316 | $316 | $31 | 10% | — | $285 – $347 |
| 19 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 2 | $319 | $319 | $27 | 9% | — | $291 – $346 |
| 20 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 2 | $326 | $326 | $28 | 9% | — | $298 – $354 |
| 21 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 2 | $299 | $299 | $27 | 9% | — | $271 – $326 |
| 22 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $301 | $301 | $29 | 10% | — | $271 – $330 |
| 23 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | $1 | 8% | — | $13 – $15 |
| 24 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | $1 | 8% | — | $13 – $15 |
| 25 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 2 | $66 | $66 | $6 | 9% | — | $60 – $72 |
← Payers reporting HCPCS G0404 · Snapshot 20261111T120946Z-9134e7f7