Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; tracing 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.
12 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| 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× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $217.50 | $725 | $62.23 | 3.5× |
| 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 | $62.23 | 4.1× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $253.75 | $725 | $62.23 | 4.1× |
| UCHealth Pikes Peak Regional Hospital | Woodland Park, CO | $401.60 | $502 | $62.23 | 6.5× |
"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.