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
ELECTROCARDIOGRAM, ROUTINE ECG WITH 12 LEADS; PERFORMED AS A SCREENING FOR THE INITIAL PREVENTIVE PHYSICAL EXAMINATION WITH INTERPRETATION AND REPORT
Spearfish, SD
See all hospitals reporting HCPCS G0403 →Price type
Monument Health Network Inc’s median price of $33 is 28% above the median hospital's median price ($26), higher than 56% of the 890 hospitals reporting HCPCS G0403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 10 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 | Medica medica mcaid percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 2 | UnitedHealthcare uhc mcr adv other · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Medica medica mcr adv fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Wellmark bcbs wellmark mcr adv fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Medica medica mcr adv percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 6 | UnitedHealthcare uhc - all other plans percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 7 | Medica medica commercial - all other plans percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 8 | MultiPlan multiplan/phcs - all plans percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 9 | Wellmark bcbs wellmark mcr adv other · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 10 | Wellmark bcbs wellmark - all other plans fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
Last updated: Sep 1, 2026
See Routine 12-lead ECG for preventive exam screening pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.