Routine 12-lead ECG screening tracing (no interpretation) at MVHS, Inc.

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

HC Ekg-Ippe Tracing

Utica, NY

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Pricing by billing methodology

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How this price compares nationally

MVHS, Inc.’s median price of $15 is 50% below the median hospital's median price ($31), higher than 15% 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 MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 30 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	UnitedHealthcare uhc medicare advantage percent of total billed charges · bothfrom % of charges	$5	$5	—	—	—	$5 – $5
2	Humana humana military fee schedule · both	$5	$5	—	—	—	$5 – $5
3	Tricare humana military fee schedule · both	$5	$5	—	—	—	$5 – $5
4	Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
5	Humana choicecare fee schedule · both	$6	$6	—	—	—	$6 – $6
6	Humana humana medicare advantage fee schedule · both	$6	$6	—	—	—	$6 – $6
7	Medicare medicare fee schedule · both	$7	$7	—	—	—	$7 – $7
8	WellCare wellcare fee schedule · both	$7	$7	—	—	—	$7 – $7
9	Blue Cross Blue Shield excellus bcbs federal fee schedule · both	$8	$8	—	—	—	$8 – $8
10	Cigna mvp hmo/ppo fee schedule · both	$8	$8	—	—	—	$8 – $8
11	UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges	$8	$8	—	—	—	$8 – $8
12	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$13	$13	—	—	—	$13 – $13
13	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
14	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$14	$14	—	—	—	$14 – $14
15	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$14	$14	—	—	—	$14 – $14
16	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$14	$14	—	—	—	$14 – $14
17	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$14	$14	—	—	—	$14 – $14
18	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
19	UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges	$15	$15	—	—	—	$15 – $15
20	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
21	Humana humana military other · outpatient	$28	$28	—	—	—	$28 – $28
22	Tricare humana military other · outpatient	$28	$28	—	—	—	$28 – $28
23	Excellus excellus bcbs medicare advantage other · outpatient	$36	$36	—	—	—	$36 – $36
24	Humana humana medicare advantage other · outpatient	$36	$36	—	—	—	$36 – $36
25	Medicare medicare other · outpatient	$36	$36	—	—	—	$36 – $36

Page 1 of 2 · 30 rates

Last updated: Aug 7, 2026

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