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 Ecg 12 Lead Interpretation W/Report Initial Preventive Physical Exam
Low
$7
Average
$13
Median
$13
High
$22
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 2.1× 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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37 hospital rates
iThe hospitals that file a Excellus 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 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 2 | $9 | $9 | $1 | 9% | — | $8 – $10 |
| 2 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 2 | $9 | $9 | $1 | 13% | — | $8 – $10 |
| 3 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $11 | $11 | $3 | 28% | — | $8 – $14 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $11 | $11 | $3 | 28% | — | $8 – $14 |
| 6 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 8 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $18 | $18 | $4 | 21% | — | $15 – $22 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 2 | $10 | $10 | $2 | 17% | — | $8 – $12 |
| 10 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 2 | $10 | $10 | $2 | 23% | — | $8 – $13 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $10 | $10 | $2 | 23% | — | $8 – $13 |
| 13 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 2 | $9 | $9 | $2 | 23% | — | $7 – $11 |
| 16 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $10 | $10 | $2 | 23% | — | $8 – $13 |
| 17 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 2 | $11 | $11 | $3 | 28% | — | $8 – $14 |
| 18 | Mercy Health Services-Iowa Corp. Mason City, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 19 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · inpatient | 2 | $9 | $9 | $1 | 9% | — | $8 – $9 |
| 20 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 2 | $9 | $9 | $1 | 9% | — | $8 – $9 |
| 21 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 22 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 23 | Plymouth Medical Center Plymouth, IN professional · fee schedule · inpatient | 2 | $9 | $9 | $1 | 9% | — | $8 – $9 |
| 24 | Plymouth Medical Center Plymouth, IN professional · fee schedule · outpatient | 2 | $9 | $9 | $1 | 9% | — | $8 – $9 |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
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