Routine 12-lead ECG screening tracing (no interpretation) at Allina Health Systems

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HCHG EKG TRACING PART B EXAM

Ulm, MN

See all hospitals reporting HCPCS G0404 →

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How this price compares nationally

Allina Health Systems’s median price of $180 is 487% above the median hospital's median price ($31), higher than 96% of the 1,333 hospitals reporting HCPCS G0404. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0404 at Allina Health Systems

Negotiated rates from the hospital’s own file: 9 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna allina aetna medicare (n) facility · fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
2	Medicare medicare (n) facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
3	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$49	$49	—	—	—	$49 – $49
4	Bcbs Mn bc pmap (n) facility · other · outpatient	$67	$67	—	—	—	$67 – $67
5	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
6	Medicaid medicaid ma (n) facility · other · outpatient	$107	$107	—	—	—	$107 – $107
7	Medica medica medicare (r) facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
8	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
9	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
10	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
11	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
12	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$162	$162	—	—	—	$162 – $162
13	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$164	$164	—	—	—	$164 – $164
14	Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges	$172	$172	—	—	—	$172 – $172
15	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$196	$196	—	—	—	$196 – $196
16	Cigna hpi cigna (n) facility · other · outpatient	$200	$200	—	—	—	$200 – $200
17	Bcbs Mn bc state health plan (n) facility · other · outpatient	$205	$205	—	—	—	$205 – $205
18	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
19	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
20	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
21	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$207	$207	—	—	—	$207 – $207
22	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$209	$209	—	—	—	$209 – $209
23	Bcbs Mn bc premier(n) facility · other · outpatient	$263	$263	—	—	—	$263 – $263
24	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$310	$310	—	—	—	$310 – $310
25	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$332	$332	—	—	—	$332 – $332

Last updated: Jun 16, 2026

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See Routine 12-lead ECG screening tracing (no interpretation) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.