Routine 12-lead ECG for preventive exam screening at Ukiah Adventist Hospital

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

ELECTROCARDIOGRAM, ROUTINE ECG WITH 12 LEADS; PERFORMED AS A SCREENING FOR THE INITIAL PREVENTIVE PHYSICAL EXAMINATION WITH INTERPRETATION AND REPORT

Ukiah, CA

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How this price compares nationally

Ukiah Adventist Hospital’s median price of $202 is 688% above the median hospital's median price ($26), higher than 94% of the 890 hospitals reporting HCPCS G0403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0403 at Ukiah Adventist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 14 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	Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
2	Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges	$92	$92	—	—	—	$92 – $92
3	Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
4	Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
5	Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges	$190	$190	—	—	—	$190 – $190
6	MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges	$190	$190	—	—	—	$190 – $190
7	Kaiser kaiser medi-cal fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
8	Medicaid medi-cal fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
9	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$271	$271	—	—	—	$271 – $271
10	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
11	Blue Cross Blue Shield tricare blue shield-all plans fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
12	Kaiser kaiser mcr adv fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
13	Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient	$301	$301	—	—	—	$301 – $301
14	Blue Cross Blue Shield blue cross mcs-all other plans fee schedule · outpatient	$361	$361	—	—	—	$361 – $361

Last updated: May 24, 2026

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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.