ECG algorithmically gen 12 ld rdcd ld trcg only (CPT 0904T)
0904T is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
82 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
Compare interactively: search all codes, set your location →
| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| UAMS Medical Center | Little Rock, AR | $37.20 | $62 | $55.43 | 0.7× |
| Boston Medical Center | Boston, MA | $48.15 | $107 | $70.70 | 0.7× |
| Brookdale Hospital Medical Center range across 6 matching MRF lines |
Brooklyn, NY | $49.71 | $141–$176 | $73.64 | 0.7× |
| Lakeside Medical Center | Belle Glade, FL | $59.62 | — | $61.60 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $60.27 | — | $73.64 | 0.8× |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | $61.75 | $291 | $62.51 | 1.0× |
| Owensboro Health Regional Hospital | Owensboro, KY | $69.48 | $106.89 | $58.49 | 1.2× |
| Highland Hospital | Rochester, NY | $70.02 | — | $73.64 | 1.0× |
| Strong Memorial Hospital | Rochester, NY | $70.02 | — | $73.64 | 1.0× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $70.29 | $175.73 | $73.64 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $70.29 | $175.73 | $73.64 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $70.29 | $175.73 | $73.64 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $70.29 | $175.73 | $73.64 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $70.29 | $175.73 | $73.64 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $70.29 | $175.73 | $73.64 | 1.0× |
| Bellevue Hospital Center | New York, NY | $70.29 | $175.73 | $73.64 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $70.29 | $175.73 | $73.64 | 1.0× |
| Harlem Hospital Center | New York, NY | $70.29 | $175.73 | $73.64 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $70.29 | $175.73 | $73.64 | 1.0× |
| Griffin Hospital | Derby, CT | $71.01 | — | $70.72 | 1.0× |
| UP Health System - Portage | Hancock, MI | $71.28 | $118.80 | $58.78 | 1.2× |
| Iu Health Bloomington Hospital | Bloomington, IN | $71.64 | $291 | $62.41 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $72.39 | — | $62.95 | 1.1× |
| Indiana University Health Arnett Hospital | Lafayette, IN | $72.72 | $291 | $62.41 | 1.2× |
| Longmont United Hospital | Longmont, CO | $79.20 | $198 | $62.92 | 1.3× |
| St. Anthony Hospital | Lakewood, CO | $79.20 | $198 | $62.23 | 1.3× |
| Penrose Hospital | Colorado Springs, CO | $79.20 | $198 | $62.23 | 1.3× |
| St. Anthony North Health Campus | Westminster, CO | $79.20 | $198 | $62.23 | 1.3× |
| OrthoColorado Hospital | Lakewood, CO | $79.20 | $198 | $62.23 | 1.3× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $79.20 | $198 | $62.23 | 1.3× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $81.12 | — | $58.78 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $81.12 | — | $58.78 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $81.12 | — | $58.78 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $81.12 | — | $58.78 | 1.4× |
| Indiana University Health | Indianapolis, IN | $82.61 | $291 | $62.41 | 1.3× |
| Indiana University Health Bedford Hospital | Bedford, IN | $83.08 | $291 | $62.41 | 1.3× |
| Atrium Health Navicent The Medical Center | Macon, GA | $84.75 | $169.50 | $58.05 | 1.5× |
| Indiana University Health White Memorial Hospital | Monticello, IN | $90.73 | $291 | $62.41 | 1.5× |
| Indiana University Health Tipton Hospital Inc | Tipton, IN | $109.59 | $291 | $62.41 | 1.8× |
| Indiana University Health Paoli Hospital | Paoli, IN | $111.66 | $291 | $62.41 | 1.8× |
| Indiana University Health Frankfort Inc | Frankfort, IN | $117.51 | $291 | $62.41 | 1.9× |
| Iu Health Jay | Portland, IN | $130.19 | $291 | $62.41 | 2.1× |
| Holy Cross Hospital - Salt Lake | Salt Lake City, UT | $135.52 | $338.80 | $59.73 | 2.3× |
| Holy Cross Hospital-davis | Layton, UT | $135.52 | $338.80 | $59.73 | 2.3× |
| Holy Cross Hospital-jordan Valley | West Jordan, UT | $135.52 | $338.80 | $59.73 | 2.3× |
| Emory University Hospital | Atlanta, GA | $164 | $164 | $59.17 | 2.8× |
| Emory Decatur Hospital | Decatur, GA | $164 | $164 | $59.17 | 2.8× |
| Emory University Hospital Midtown | Atlanta, GA | $164 | $164 | $59.92 | 2.7× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $164 | $164 | $59.92 | 2.7× |
| Emory Hillandale Hospital | Lithonia, GA | $164 | $164 | $59.17 | 2.8× |
| Emory Johns Creek Hospital | Johns Creek, GA | $164 | $164 | $59.92 | 2.7× |
| Community Hospital of the Monterey Peninsula | Monterey, CA | $165.90 | $237 | $86.30 | 1.9× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $217.50 | $725 | $62.23 | 3.5× |
| University of Iowa Health Care Medical Center Downtown | Iowa City, IA | $245 | $350 | $56.71 | 4.3× |
| University of Iowa Health Care Medical Center | Iowa City, IA | $245 | $350 | $56.71 | 4.3× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $247.50 | $550 | $62.23 | 4.0× |
| Longs Peak Hospital | Longmont, CO | $253.75 | $725 | $62.92 | 4.0× |
| UCHealth Broomfield Hospital | Broomfield, CO | $253.75 | $725 | $62.43 | 4.1× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $253.75 | $725 | $62.23 | 4.1× |
| Santa Clara Valley Medical Center | San Jose, CA | $303.10 | $433 | $86.77 | 3.5× |
| Regional Medical Center of San Jose | San Jose, CA | $303.10 | $433 | $86.77 | 3.5× |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $397.60 | $710 | $85.66 | 4.6× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $397.60 | $710 | $85.27 | 4.7× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $397.60 | $710 | $83.76 | 4.7× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $397.60 | $710 | $86.67 | 4.6× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $397.60 | $710 | $86.30 | 4.6× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $397.60 | $710 | $85.27 | 4.7× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $397.60 | $710 | $83.76 | 4.7× |
| Kaiser Foundation Hospital | San Rafael, CA | $397.60 | $710 | $83.67 | 4.8× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $397.60 | $710 | $85.27 | 4.7× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $397.60 | $710 | $85.66 | 4.6× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $397.60 | $710 | $86.77 | 4.6× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $397.60 | $710 | $83.76 | 4.7× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $397.60 | $710 | $81.12 | 4.9× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $397.60 | $710 | $75.87 | 5.2× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $397.60 | $710 | $82.67 | 4.8× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $397.60 | $710 | $83.30 | 4.8× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $397.60 | $710 | $86.67 | 4.6× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $397.60 | $710 | $76.56 | 5.2× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $397.60 | $710 | $85.28 | 4.7× |
| UCHealth Pikes Peak Regional Hospital | Woodland Park, CO | $401.60 | $502 | $62.23 | 6.5× |
| Montefiore New Rochelle Hospital | New Rochelle, NY | — | $367 | $73.64 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.