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
$6
Average
$37
Median
$29
High
$112
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 8.2× 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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58 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 | $27 | $27 | — | — | — | $27 – $27 |
| 2 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 3 | Avera Creighton Hospital Creighton, NE fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 4 | Avera Granite Falls Health Center Granite Falls, MN fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 5 | Avera Hand County Hospital Miller, SD fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Avera Marshall Hospital Marshall, MN fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Avera Queen of Peace Mitchell, SD fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Avera St. Benedicts Parkston, SD fee schedule · both | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 10 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 11 | Black River Health Inc Black River Falls, WI professional · percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 12 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · both | 4 | $6 | $7 | $2 | 24% | — | $5 – $9 |
| 13 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 5 | $5 | $6 | $2 | 25% | — | $5 – $9 |
| 14 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 15 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $106 | $106 | $2 | 2% | — | $104 – $110 |
| 16 | Mayo Clinic Health System Mankato 56001-4752 facility · fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 17 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 2 | $25 | $53 | $41 | 76% | — | $25 – $111 |
| 18 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $112 | $112 | $1 | 1% | — | $111 – $113 |
| 20 | Mayo Clinic Health System Lake City 55041-1143 facility · fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 21 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 2 | $25 | $53 | $41 | 76% | — | $25 – $111 |
| 22 | Mayo Clinic Health System Lake City 55041-1143 professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 23 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $112 | $112 | $1 | 1% | — | $111 – $113 |
| 24 | Mayo Clinic Health System Saint James 56081-5550 facility · fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 25 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 2 | $25 | $53 | $41 | 76% | — | $25 – $111 |
← Payers reporting HCPCS G0405 · Snapshot 20261111T120946Z-9134e7f7