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
$5
Average
$10
Median
$8
High
$36
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 3.0× 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.
Filter by billing methodology
Filter by billing class
47 hospital rates
iThe hospitals that file a Tricare 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 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 3 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 5 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 7 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $8 | $8 | $1 | 8% | — | $7 – $8 |
| 8 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 12 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 13 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $4 | $5 | $1 | 19% | — | $4 – $6 |
| 14 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 15 | GLENS FALLS HOSPITAL INC Falls, NY professional · fee schedule · outpatient | 4 | $7 | $7 | $1 | 8% | — | $6 – $8 |
| 16 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 17 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 18 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 19 | MVHS, Inc. Utica, NY fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 20 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 21 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · fee schedule · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 23 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 24 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 25 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Payers reporting HCPCS G0405 · Snapshot 20261111T120946Z-9134e7f7