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
$33
Median
$17
High
$197
Each hospital's average Medica rate, under the methodology and billing class chosen below.
69 hospitals; the 90th percentile is 10.5× 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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122 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 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $107 | $107 | $3 | 3% | — | $104 – $109 |
| 2 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $104 | $99 | $15 | 15% | — | $70 – $109 |
| 3 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $107 | $107 | $3 | 3% | — | $104 – $109 |
| 4 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $104 | $95 | $23 | 24% | — | $49 – $109 |
| 5 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 4 | $107 | $107 | $3 | 3% | — | $104 – $109 |
| 6 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 5 | $104 | $93 | $27 | 29% | — | $40 – $109 |
| 7 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 4 | $107 | $107 | $3 | 3% | — | $104 – $109 |
| 8 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 5 | $104 | $97 | $20 | 20% | — | $58 – $109 |
| 9 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $7 | $8 | $4 | 47% | — | $5 – $14 |
| 10 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $7 | $8 | $4 | 47% | — | $5 – $14 |
| 11 | Amery Hospital Amery, WI facility · case rate · both | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 12 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 13 | Avera Creighton Hospital Creighton, NE fee schedule · both | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 14 | Avera Granite Falls Health Center Granite Falls, MN fee schedule · both | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 15 | Avera Hand County Hospital Miller, SD fee schedule · both | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 16 | Avera Marshall Hospital Marshall, MN fee schedule · both | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Avera Queen of Peace Mitchell, SD fee schedule · both | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 18 | Avera St. Benedicts Parkston, SD fee schedule · both | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 19 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $21 | $20 | $8 | 39% | — | $8 – $30 |
| 20 | Black River Health Inc Black River Falls, WI professional · percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 21 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 22 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 25 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 8 | $25 | $19 | $9 | 48% | — | $6 – $27 |
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