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
$0
Average
$103
Median
$26
High
$971
Each hospital's average First Health rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 12.6× 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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108 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 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 2 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 3 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 6 | Black River Health Inc Black River Falls, WI professional · percent of total billed charges · bothfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 7 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $22 | $4 | 19% | — | $18 – $28 |
| 8 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $22 | $4 | 19% | — | $18 – $28 |
| 9 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $831 | $831 | — | — | — | $831 – $831 |
| 10 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 12 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 13 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 15 | Covenant Medical Center Inc Waterloo, IA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 16 | Davis Medical Center Elkins, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 18 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 25 | Dukes Health System LLC Peru, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $20 | $4 | 19% | — | $17 – $26 |
← Payers reporting HCPCS G0405 · Snapshot 20261111T120946Z-9134e7f7