Routine 12-lead ECG screening tracing (no interpretation) at Mercy Hospital Springfield

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

Electrocardi Trac Only W/0 Interp

Ozark, MO

See all hospitals reporting HCPCS G0404 →

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How this price compares nationally

Mercy Hospital Springfield’s median price of $101 is 230% above the median hospital's median price ($31), higher than 90% 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 Mercy Hospital Springfield

Negotiated rates from the hospital’s own file: 12 payers, 20 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	WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient	$29	$29	—	—	—	$29 – $29
2	Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
3	Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
4	Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges	$72	$72	—	—	—	$72 – $72
5	Anthem hb sprg anthem alliance facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
6	Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
7	Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
8	Anthem hb sprg anthem blue access facility · fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
9	Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
10	First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
11	Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
12	Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	—	—	—	$123 – $123
13	Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
14	Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges	$136	$136	—	—	—	$136 – $136
15	Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
16	MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
17	UnitedHealthcare hb sprg uhc individual exchange facility · per diem · outpatient	$204	$204	—	—	—	$204 – $204
18	Optum hb sprg uhc all payer facility · per diem · outpatient	$218	$218	—	—	—	$218 – $218
19	UnitedHealthcare hb sprg uhc all payer facility · per diem · outpatient	$218	$218	—	—	—	$218 – $218
20	UnitedHealthcare hb sprg uhc options ppo facility · per diem · outpatient	$338	$338	—	—	—	$338 – $338

Last updated: Jun 4, 2026

Compare to other hospitals

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.