Doctor visits and therapy CPT 93005 Illinois Outpatient

EKG tracing cost in Illinois

In Illinois, 115 hospitals publish a cash price for electrocardiogram (ECG/EKG), tracing only, the hospital charge: from $32.27 to $551.00, with a median of $232.50. The lowest price is at Roseland Community Hospital (Chicago). The highest price is 17.1× the lowest.

  • The median here, $232.50, is 27% above the US median of $183.06.
  • That is 3.9× Medicare's 2026 national rate for the same service ($60.27).
  • Illinois ranks 37th of 50 states by median, cheapest first.
  • 28 of 115 hospitals list a cash price equal to their full list price, with no self-pay discount.

Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 93005. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 10, 2026. See them on a map

Lowest$32.27Roseland Community Hospital
Median$232.50half of hospitals charge less
Highest$551.00in Illinois
Lowest saves$200.23vs the median

Hospitals in Illinois, cheapest first

HospitalCash priceList priceFile date
Roseland Community Hospital lowest Chicago · Chicago-Naperville-Elgin, IL-IN Routine electrocardiogram (ECG) using at least 12 leads with tracing $32.27 $166.00 Jul 1, 2026
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MC Donough District Hospital Macomb · Macomb, IL ECG 12-Lead Interpretation $34.80 $58.00 Mar 25, 2026
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Hopedale Medical Complex Hopedale · Peoria, IL RHYTHM STRIP $37.80 $54.00 Apr 6, 2026
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Rockford Memorial Hospital Rockford · Rockford, IL HC PBB ELECTROCARDIOGRAM TRACING $47.46 $63.28 Mar 1, 2026
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NorthShore University HealthSystems Glenbrook Hospital Glenview · Chicago-Naperville-Elgin, IL-IN Electrocardiogram Tracing $52.65 $81.00 Jan 1, 2025
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NorthShore University HealthSystems Skokie Hospital Skokie · Chicago-Naperville-Elgin, IL-IN Ekg Routine Office Performed $52.65 $81.00 Jan 1, 2025
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Sarah D Culbertson Memorial Hospital Rushville · Rushville, IL Routine electrocardiogram (ECG) using at least 12 leads with tracing $54.90 $61.00 May 26, 2026
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Mercy Medical Center Aurora · Chicago-Naperville-Elgin, IL-IN ELECTROCARDIOGRAM - 93005 - 48000215 $62.00 $548.00 Sep 1, 2026
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Saint Francis Hospital Evanston · Chicago-Naperville-Elgin, IL-IN HC ELECTROCARDIOGRAM, TRACING $62.00 $598.00 Sep 1, 2026
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Saint Joseph Medical Center - Joliet Joliet · Chicago-Naperville-Elgin, IL-IN EKG EMERGENCY DEPT $62.00 $603.00 Sep 1, 2026
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Riverside Medical Center Kankakee · Kankakee, IL ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING $74.80 $281.00 Mar 15, 2026
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Endeavor Health Highland Park Hospital Highland Park · Chicago-Naperville-Elgin, IL-IN ORDER ROUTINE EKG $81.00 $81.00 Apr 1, 2026
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Northshore University Healthsystem - Evanston Hospital Evanston · Chicago-Naperville-Elgin, IL-IN EKG ROUTINE OFFICE PERFORMED $81.00 $81.00 Apr 1, 2026
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Swedish Covenant Health Chicago · Chicago-Naperville-Elgin, IL-IN ORDER ROUTINE EKG $81.00 $81.00 Apr 1, 2026
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Gottlieb Memorial Hospital Melrose Park · Chicago-Naperville-Elgin, IL-IN Ekg 12-Lead - to Be Done by Cancer Ctr Lab $82.08 $432.00 Mar 31, 2026
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MacNeal Hospital Berwyn · Chicago-Naperville-Elgin, IL-IN Ekg 12-Lead - Gmh IP / ED $82.08 $432.00 Mar 31, 2026
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Humboldt Park Health Chicago · Chicago-Naperville-Elgin, IL-IN Routine electrocardiogram (ECG) using at least 12 leads with tracing $87.32 $311.85 Sep 29, 2026
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Loretto Hospital Chicago · Chicago-Naperville-Elgin, IL-IN PF Electrocardiogram, routine $90.83 $151.39 Nov 5, 2026
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Heartland Regional Medical Center Marion · Marion-Herrin, IL HC EKG $95.79 $504.12 Feb 3, 2026
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Loyola University Medical Center Maywood · Chicago-Naperville-Elgin, IL-IN ED Only - Ekg 12-Lead $99.36 $432.00 Mar 31, 2026
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John H. Stroger, Jr. Hospital Chicago · Chicago-Naperville-Elgin, IL-IN EKG 12 LEAD TRACING $105.70 $151.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Bolingbrook Bolingbrook · Chicago-Naperville-Elgin, IL-IN HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD $112.50 $450.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks Glendale Heights · Chicago-Naperville-Elgin, IL-IN HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD $112.50 $450.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale Hinsdale · Chicago-Naperville-Elgin, IL-IN HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD $112.50 $450.00 Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange La Grange · Chicago-Naperville-Elgin, IL-IN HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD $112.50 $450.00 Apr 1, 2026
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Touchette Regional Hospital Cahokia Heights · St. Louis, MO-IL Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report $114.08 $184.00 Apr 13, 2026
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MercyOne Genesis Aledo Medical Center Aledo · Davenport-Moline-Rock Island, IA-IL GHS EKG 12 LEAD $120.60 $201.00 Mar 31, 2026
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MercyOne Genesis Silvis Medical Center Silvis · Davenport-Moline-Rock Island, IA-IL GHS EKG 12 LEAD $120.60 $201.00 Mar 31, 2026
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Jersey Community Hospital Jerseyville · St. Louis, MO-IL 93005 EKG w/ 12 or more leads Tracing Only $133.00 $133.00 Mar 10, 2026
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Resilience Healthcare West Suburban Medical Center Oak Park · Chicago-Naperville-Elgin, IL-IN EKG Charges - EKG -> Routine ECG 12 lead/15 lead tracing only 93005 $134.22 $394.76 Mar 17, 2025
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Hardin County General Hospital Rosiclare · Rosiclare, IL CLN EKG $140.40 $156.00 Aug 31, 2026
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Morris Hospital Morris · Chicago-Naperville-Elgin, IL-IN Routine electrocardiogram (ECG) using at least 12 leads with tracing $143.16 $595.00 Oct 27, 2026
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Louis A Weiss Memorial Hospital Chicago · Chicago-Naperville-Elgin, IL-IN EKG Charges - EKG -> Routine ECG 12 lead/15 lead tracing only 93005 $153.36 $451.07 Mar 17, 2025
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Shriners Childrens - Chicago Chicago · Chicago-Naperville-Elgin, IL-IN ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING $160.50 $160.50 Mar 19, 2026
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Hamilton Memorial Hospital McLeansboror · McLeansboror, IL HC EKG 12 LEAD $171.05 $190.05 Jun 11, 2026
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Deaconess Illinois Crossroads Mount Vernon · Mount Vernon, IL HC EKG $173.89 $790.37 Feb 3, 2026
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Trinity Rock Island Rock Island · Davenport-Moline-Rock Island, IA-IL HC 12 LEAD EKG; TRACING ONLY $176.92 $221.15 Nov 4, 2026
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Community Hospital of Staunton Staunton · St. Louis, MO-IL ELECTROCARDIOGRAM $177.30 $354.60 Feb 9, 2026
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Mercyhealth Hospital & Medical Center - Harvard Harvard · Chicago-Naperville-Elgin, IL-IN HC TC ELECTROCARDIOGRAM $181.18 $241.58 Mar 1, 2026
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Community First Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN Routine electrocardiogram (ECG) using at least 12 leads with tracing $188.00 $376.00 Apr 1, 2026
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Hammond Henry Dist Hospital Geneseo · Davenport-Moline-Rock Island, IA-IL Routine electrocardiogram (ECG) using at least 12 leads with tracing $188.10 $209.00 Jan 22, 2026
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Jackson Park Hospital Foundation Chicago · Chicago-Naperville-Elgin, IL-IN EKG 12 LEAD TRACING ONLY $188.48 $235.60 Dec 26, 2025
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Pana Community Hospital Pana · Taylorville, IL 93005 EKG, Tracing Only $189.00 $189.00 Oct 27, 2026
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Advocate Good Shepherd Hospital Barrington · Chicago-Naperville-Elgin, IL-IN ECG TRACING ONLY $192.50 $385.00 Nov 3, 2026
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Mason District Hospital Havana · Havana, IL EKG $195.20 $244.00 May 8, 2026
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Deaconess Illinois Union County Hospital Anna · Anna, IL HC EKG $196.47 $531.00 Feb 3, 2026
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Presence Saint Joseph Hospital - Chicago Chicago · Chicago-Naperville-Elgin, IL-IN HC EKG 12 LEAD TRACING $197.34 $598.00 Jan 1, 2026
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Palos Community Hospital Palos Heights · Chicago-Naperville-Elgin, IL-IN HB Electrocardiogram Tracing $199.50 $285.00 Apr 1, 2026
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Northwestern Medicine Kishwaukee Hospital DeKalb · Chicago-Naperville-Elgin, IL-IN HB Electrocardiogram Tracing $200.90 $287.00 Apr 1, 2026
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Hoopeston Community Memorial Hospital Hoopeston · Danville, IL Electrocardiogram Tracing Only $205.00 $205.00 Apr 15, 2026
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Northwestern Medicine Valley West Hospital Sandwich · Chicago-Naperville-Elgin, IL-IN HB Electrocardiogram Tracing $216.30 $309.00 Apr 1, 2026
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Thomas H Boyd Memorial Hospital Carrollton · Carrollton, IL Routine electrocardiogram (ECG) using at least 12 leads with tracing $218.40 $273.00 Jul 7, 2026
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Advocate Childrens Hospital Oak Lawn Oak Lawn · Chicago-Naperville-Elgin, IL-IN ECG 12 LEAD TRACING ONLY PEDS $220.00 $440.00 Nov 3, 2026
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Advocate Christ Medical Center Oak Lawn · Chicago-Naperville-Elgin, IL-IN ECG TRACING ONLY $220.00 $440.00 Nov 3, 2026
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Morrison Community Hospital Morrison · Sterling, IL EKG $226.50 $226.50 Mar 13, 2026
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Washington County Hospital Nashville · Nashville, IL HC EKG 12 LEAD $229.60 $287.00 Jun 1, 2026
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Mercyhealth Crystal Lake Hospital & Medical Center one side Crystal Lake · Chicago-Naperville-Elgin, IL-IN HC RT EKG $232.18 $309.57 Mar 1, 2026
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Advocate Condell Medical Center Libertyville · Chicago-Naperville-Elgin, IL-IN ECG 12 LEAD TRACING ONLY PEDS $232.50 $465.00 Nov 3, 2026
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Midwest Medical Center Galena · Galena, IL EKG 12 Lead, Tracing Only Charge (JMC only) $232.69 $255.70 Sep 1, 2026
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Anderson Hospital Maryville · St. Louis, MO-IL ELECTROCARDIOGRAM $235.20 $470.40 Feb 6, 2026
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Ferrell Hospital Community Foundation Eldorado · Eldorado, IL HC EKG $237.00 $316.00 Sep 22, 2026
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Northwestern Lake Forest Hospital Lake Forest · Chicago-Naperville-Elgin, IL-IN HB Electrocardiogram Tracing $238.00 $340.00 Apr 1, 2026
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Northwestern Medicine McHenry Hospital McHenry · Chicago-Naperville-Elgin, IL-IN HB Electrocardiogram Tracing $238.00 $340.00 Apr 1, 2026
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Northwestern Memorial Hospital Chicago · Chicago-Naperville-Elgin, IL-IN HB Electrocardiogram Tracing $238.00 $340.00 Apr 1, 2026
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Advocate Childrens Hospital Park Ridge Park Ridge · Chicago-Naperville-Elgin, IL-IN ECG 12 LEAD TRACING ONLY PEDS $242.50 $485.00 Nov 6, 2026
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Advocate Good Samaritan Hospital Downers Grove · Chicago-Naperville-Elgin, IL-IN ECG TRACING ONLY $242.50 $485.00 Nov 3, 2026
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Advocate Lutheran General Hospital Park Ridge · Chicago-Naperville-Elgin, IL-IN ECG 12 LEAD TRACING ONLY PEDS $242.50 $485.00 Nov 3, 2026
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Carle BroMenn Medical Center Normal · Bloomington, IL Electrocardiogram Tracing Only $245.00 $245.00 Apr 15, 2026
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Carle Eureka Hospital Eureka · Peoria, IL Electrocardiogram, Tracing $245.00 $245.00 Apr 15, 2026
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Carlinville Area Hospital Carlinville · St. Louis, MO-IL EKG $252.70 $361.00 Mar 21, 2026
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St Francis Hospital Sisters of the Third Order of St Francis Litchfield · Litchfield, IL HC EKG $257.76 $358.00 Mar 24, 2026
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Hshs Holy Family Hospital Greenville · St. Louis, MO-IL HC EKG $258.48 $359.00 Mar 24, 2026
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Advocate Sherman Hospital Elgin · Chicago-Naperville-Elgin, IL-IN ECG 12 LEAD TRACING ONLY PEDS $260.00 $520.00 Nov 3, 2026
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Hshs Good Shepherd Hospital Shelbyville · Shelbyville, IL HC EKG $263.52 $366.00 Mar 24, 2026
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Advocate Illinois Masonic Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN ECG TRACING ONLY $272.50 $545.00 Nov 3, 2026
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Advocate South Suburban Hospital Hazel Crest · Chicago-Naperville-Elgin, IL-IN ECG TRACING ONLY $272.50 $545.00 Nov 3, 2026
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Advocate Trinity Hospital Chicago · Chicago-Naperville-Elgin, IL-IN ECG TRACING ONLY $272.50 $545.00 Nov 3, 2026
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Kirby Medical Center Monticello · Champaign-Urbana, IL ECG/EKG TRACING $276.00 $460.00 Jun 11, 2026
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Crawford Memorial Hospital Robinson · Robinson, IL ECG 12-Lead Acquisition $276.80 $346.00 Nov 12, 2025
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St Anthonys Memorial Hospital of the Hospital Sisters of the Third Order of St Francis Mattoon · Charleston-Mattoon, IL HC EKG $277.92 $386.00 Mar 24, 2026
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Salem Township Hospital Salem · Centralia, IL HC ECG 12 LEAD, TRACING ONLY $285.18 $712.94 Dec 3, 2025
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Northwestern Medicine Central DuPage Hospital Winfield · Chicago-Naperville-Elgin, IL-IN HB Electrocardiogram Tracing $304.50 $435.00 Apr 1, 2026
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Northwestern Medicine Delnor Hospital Geneva · Chicago-Naperville-Elgin, IL-IN HB Electrocardiogram Tracing $304.50 $435.00 Apr 1, 2026
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Pinckneyville Community Hospital Pinckneyville · Pinckneyville, IL Routine electrocardiogram (ECG) using at least 12 leads with tracing $306.00 $306.00 Jun 8, 2026
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Illini Community Hospital Pittsfield · Pittsfield, IL HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD $312.44 $520.73 Jun 8, 2026
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St Marys Hospital Decatur of Hospital Sisters of the Third Order of St Francis Decatur · Decatur, IL HC EKG $324.72 $451.00 Mar 25, 2026
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St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland · St. Louis, MO-IL HC EKG $326.88 $454.00 Mar 24, 2026
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FHN Memorial Hospital Freeport · Freeport, IL Routine electrocardiogram (ECG) using at least 12 leads with tracing $328.99 $411.24 Jan 22, 2026
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Fairfield Memorial Hospital Fairfield · Fairfield, IL EKG $336.80 $421.00 Mar 24, 2026
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City of Clinton Clinton · Clinton, IL Routine electrocardiogram (ECG) using at least 12 leads with tracing $343.25 $343.25 Oct 21, 2026
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St Josephs Hospital Hospital Sisters Third Order of St Francis Breese · St. Louis, MO-IL HC EKG $344.16 $478.00 Mar 24, 2026
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St Johns Hospital of the Hospital Sisters of the Third Order of St Francis Springfield · Springfield, IL HC EKG $347.76 $483.00 Mar 24, 2026
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Northwest Community Hospital Arlington Heights · Chicago-Naperville-Elgin, IL-IN Hb Electrocardiogram Tracing $355.00 $355.00 Apr 1, 2026
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St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon · St. Louis, MO-IL HC EKG $365.76 $508.00 Mar 24, 2026
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County of Clay Flora · Flora, IL HC EKG 12 LEAD $385.00 $385.00 May 7, 2026
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Sparta Community Hospital Sparta · Sparta, IL EKG $390.00 $390.00 Jan 8, 2026
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Ann & Robert H. Lurie Children's Hospital of Chicago Chicago · Chicago-Naperville-Elgin, IL-IN H ELECTROCARDIOGRAM $390.60 $558.00 Sep 1, 2026
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Sarah Bush Lincoln Health Center Mattoon · Charleston-Mattoon, IL Routine electrocardiogram (ECG) using at least 12 leads with tracing $391.00 $391.00 Jun 3, 2026
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Rochelle Community Hospital Rochelle · Rochelle, IL Routine electrocardiogram (ECG) using at least 12 leads with tracing $407.00 $407.00 Sep 28, 2026
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Gateway Regional Medical Center Granite City · St. Louis, MO-IL NI-EKG, 12 LEADS $428.89 $714.82 Mar 30, 2026
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Vista Medical Center East Waukegan · Chicago-Naperville-Elgin, IL-IN EKG 12 LEAD ED STAFF $457.19 $457.19 Mar 31, 2025
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The Carle Foundation Hospital Urbana · Champaign-Urbana, IL Electrocardiogram, Tracing $462.00 $462.00 Apr 15, 2026
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Richland Memorial Hospital Olney · Olney, IL Electrocardiogram Tracing Only $478.00 $478.00 Apr 15, 2026
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Ingalls Memorial Hospital Harvey · Chicago-Naperville-Elgin, IL-IN Hc Electrocardiogram, Routine Ecg W/ At Least 12 Leads; Tracing Only, W/O Interpretation And Report $480.00 $480.00 Apr 1, 2026
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Harrisburg Medical Center Harrisburg · Harrisburg, IL HC Ekg $507.20 $634.00 Mar 4, 2026
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Herrin Hospital Herrin · Marion-Herrin, IL HC Ekg $507.20 $634.00 Mar 4, 2026
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Memorial Hospital of Carbondale Carbondale · Carbondale, IL HC Ekg $507.20 $634.00 Mar 4, 2026
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St Joseph Memorial Hospital Murphysboro · Carbondale, IL HC Ekg $507.20 $634.00 Mar 4, 2026
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Carle Health Pekin Hospital Pekin · Peoria, IL Electrocardiogram Tracing Only $536.00 $536.00 Apr 15, 2026
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Methodist Medical Center of Illinois Peoria · Peoria, IL Electrocardiogram Tracing Only $536.00 $536.00 Apr 15, 2026
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Proctor Community Hospital Peoria · Peoria, IL Electrocardiogram Tracing Only $536.00 $536.00 Apr 15, 2026
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Edward Hospital Naperville · Chicago-Naperville-Elgin, IL-IN HC EKG TRACING $542.00 $542.00 Apr 1, 2026
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Elmhurst Memorial Hospital Elmhurst · Chicago-Naperville-Elgin, IL-IN HC EKG TRACING $542.00 $542.00 Apr 1, 2026
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Gibson Area Hospital Gibson City · Champaign-Urbana, IL PAXT EKG TRACING $550.00 $550.00 Nov 4, 2026
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The University of Chicago Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN Hc Electrocardiogram, Routine Ecg W/ At Least 12 Leads; Tracing Only, W/O Interpretation And Report $551.00 $551.00 Apr 1, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Chicago-Naperville-Elgin, IL-IN 54 $32.27 $194.92
St. Louis, MO-IL 10 $114.08 $255.59
Peoria, IL 5 $37.80 $536.00
Davenport-Moline-Rock Island, IA-IL 4 $120.60 $148.76
Champaign-Urbana, IL 3 $276.00 $462.00
Carbondale, IL 2 $507.20 $507.20
Charleston-Mattoon, IL 2 $277.92 $334.46
Marion-Herrin, IL 2 $95.79 $301.50
Anna, IL 1 $196.47 $196.47
Bloomington, IL 1 $245.00 $245.00
Carrollton, IL 1 $218.40 $218.40
Clinton, IL 1 $343.25 $343.25
Centralia, IL 1 $285.18 $285.18
Danville, IL 1 $205.00 $205.00
Decatur, IL 1 $324.72 $324.72
Eldorado, IL 1 $237.00 $237.00
Fairfield, IL 1 $336.80 $336.80
Flora, IL 1 $385.00 $385.00
Freeport, IL 1 $328.99 $328.99
Galena, IL 1 $232.69 $232.69
Harrisburg, IL 1 $507.20 $507.20
Havana, IL 1 $195.20 $195.20
Kankakee, IL 1 $74.80 $74.80
Litchfield, IL 1 $257.76 $257.76
McLeansboror, IL 1 $171.05 $171.05
Macomb, IL 1 $34.80 $34.80
Mount Vernon, IL 1 $173.89 $173.89
Nashville, IL 1 $229.60 $229.60
Olney, IL 1 $478.00 $478.00
Pinckneyville, IL 1 $306.00 $306.00
Pittsfield, IL 1 $312.44 $312.44
Robinson, IL 1 $276.80 $276.80
Rosiclare, IL 1 $140.40 $140.40
Rushville, IL 1 $54.90 $54.90
Rochelle, IL 1 $407.00 $407.00
Rockford, IL 1 $47.46 $47.46
Shelbyville, IL 1 $263.52 $263.52
Sparta, IL 1 $390.00 $390.00
Springfield, IL 1 $347.76 $347.76
Sterling, IL 1 $226.50 $226.50
Taylorville, IL 1 $189.00 $189.00
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What EKG tracing is, what the price covers and why prices differ: EKG tracing explained.

Electrocardiogram (ECG/EKG), tracing only, the hospital charge in other states

Median cash price across the state's hospitals.