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  4. /CPT 0904T
CPT 0904T

ECG ALG 12 LD RDCD TRCG ONLY at Central Iowa Hospital Corporation

Des Moines, IA

Pricing by billing methodology

Price type

All methodologies

$58

Aggregated across all available billing methodologies for this code.

Case rate

$57

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$137

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

Not reported

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Jan 28, 2026

Compare to other hospitals

See ECG ALG 12 LD RDCD TRCG ONLY pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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