Note that our pricing is situation-specific. In general our policy is to best serve patients by finding an optimal pricing point for the given clinic or institution that will best match their own 3rd-party (or direct-from-patient) reimbursement situation - usually something that varies notably not only from country to country, but also from institution to institution and clinic to clinic. Thus pricing information is optimally guided by in-person discussion, e.g., during your initial telephone or Skype call with us as discussed in the FAQs section. On the other hand, if you are only interested in seeing some very general "guidelines pricing" information for your COUNTRY, then register for an account. Then, once registered and logged in, revisit this "Products and Services" page, at which time such information will become visible for the individual types of services and products noted below.

 

Detailed A-ECG Reports for Individual Patients (see EXAMPLE A-ECG REPORTS for examples of all of the below) [1, 2, 3]

      - Detailed (multipage) individual patient A-ECG Report for a 5-min full-disclosure 12-lead ECG (includes a "SpaceEKG" analysis):

$ Price

      - Detailed (multipage) individual patient A-ECG Report for a 10-sec snapshot 12-lead ECG (includes a "SpaceEKG" analysis):

$ Price

      - Add an A-ECG Heart Age score, when appropriate and requested, to the first item above (5-min high fidelity 12-lead ECG data files only):

$ Price

      - Include a new conventional 12-lead ECG tracing (with automated diagnosis) in a separate PDF:  

$ Price

 

A-ECG Group Reports (and Serial A-ECG Results Reports; see EXAMPLE A-ECG REPORTS for one or more examples of all of the below): [2, 3, 4]:

      - For each analyzed 5-min full-disclosure 12-lead ECG included in an A-ECG Group Report or in a Serial A-ECG Results Report:

$ Price

      - For each analyzed 10-sec snapshot 12-lead ECG included in an A-ECG Group Report or in a Serial A-ECG Results Report:

$ Price

      - For each patient's A-ECG Heart Age score added to an A-ECG Group Report, when appropriate and requested (5-min high fidelity 12-lead ECGs only):

$ Price

      - For each added new conventional 12-lead ECG tracing (separate PDF with automated diagnosis):

$ Price

      - Add a grouped "SpaceEKG" to cover linear discriminant analysis-related results for all analyzed files within the A-ECG Group Report or Serial A-ECG Results Report:

$ Price

 

Computerized 12-lead ECG hardware/software optimized for performing high-fidelity, full-disclosure A-ECGs as well as conventional 12-lead ECGs [5, 6]:

       - Full package including European-made hardware, software & support:

$ Price

       - Specifics:

 

  •              - WiFi + USB capable high-fidelity 12-lead ECG recorder (recharges via USB port)
  •              - Accompanying software for both Windows and Android
  •              - Hardware/software support for 1 year, from Switzerland, during Swiss business hours

 

1. All "general guidelines" prices are shown in US dollars (USD) for your country. Except by prior arrangement, assume a nominal turnaround time of 4 business days for any individual patient's multipage A-ECG report in PDF format. Customers who are approved for invoice-style billing (go to your MY PROFILE section to request such a status) can opt to receive periodic invoices in the given agreed-upon currency. 

2. A-ECG Heart Age score(s) require high-fidelity, full-disclosure (5-min+) 12-lead ECG data files. See compatible file formats below. 

3. Additional discounts are often offered to large volume clinical partners, to practitioners or mission efforts located in developing countries, and to clinical or research partners with a proven ability to share back high-quality, gold-standard imaging information toward the continuous and iterative improvement of the A-ECG database for the benefit of future patients. Detailed spreadsheets containing results from all studied A-ECG parameters are also available for established research partners. Inquire for details.

4. Nominal turnaround time for A-ECG Group Reports will typically depend upon the number of ECG files being forwarded for A-ECG analyses. Until further notice, except by prior arrangement, count on at least 4 business days per each set of up to 10 ECGs being uploaded or forwarded for inclusion within A-ECG Group Reports.

5. Available only in countries where the conventional ECG hardware/software has an active regulatory approval. Add shipping and handling costs, the costs for any needed lead wire sets (~$120/set), and any applicable taxes and regulatory fees to the price for the hardware, software and support package.

6. Recipient must own or procure his/her own compatible Windows-based device and/or Android-based device. Note that full-disclosure A-ECG data collection (and A-ECG Heart Age Scoring) currently requires a Windows-based computer or tablet, whereas the Android OS can currently only be used for collection of snapshot conventional 12-lead ECGs via WiFi.

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UPLOAD PROCEDURES AND SUPPORTED FORMATS AND FILE TYPES 

 

A-ECG Reports can be generated for digital 12-lead ECG data files exported from several different 12-lead ECG manufacturers' machines or software. Currently all such files must have a digital storage sampling rate of at least 250 Hz, but more commonly 500 Hz (the most common standard) or even more optimally 1000 or 2000 Hz.  In addition to direct export from manufacturers'  12-lead ECG machines, such data files can also be secondarily exported from several different brands of Electronic Health Records systems when properly configured. The currently supported file extension types for which A-ECG Reports can be generated are specified below, after the Upload Procedures sections. Note that paper-based 12-lead ECGs and mere images or scans of ECGs that are stored in formats such as PDF, GIF, etc, are not acceptable for A-ECG. 

 

Upload Procedures for registered users who choose to use our HIPAA-compliant website (aecg.ch) rather than Dropbox or equivalent:

To upload and send a supported digital 12-lead ECG data file for A-ECG analyses and an A-ECG Report, first log into your account. Then, within the MANAGE ECG FILE section of your account, please specify, using the dedicated dropdown selection controls there, the type of file(s) you are uploading, their length(s), and the given manufacturer(s), as well as the type of A-ECG Report you are requesting. Note that A-ECG Reports should only be requested for patients whose stored 12-lead ECG data file(s) were collected while they were awake and rested quietly in the supine position. Files should not be uploaded for patients who were seated, standing, prone, on their side, sleeping, coughing, talking, deep breathing, or exercising in any way during the 12-lead ECG data collection, as any A-ECG Reports for such patients will be invalid. Digital ECG files that are from an unknown source (see the currently acceptable sources/formats below), that have less than 12 leads worth (8 independent channels worth) of ECG information, or that contain lead reversals, missing leads or channels, excessive noise due to 50 Hz or 60 Hz interference from the mains or poor electrode contact, or any of the exclusionary ECG conditions that are listed in the Clinicians and Researchers FAQ, should also not be uploaded to our secure server site nor sent to us.

Upload Procedures for registered users who instead prefer to use a (HIPAA-compliant if necessary) Dropbox folder or similar sharing method:

Our most experienced customers typically prefer the increased convenience offered (i.e., over and above the use of our website) by a securely shared folder. Such a folder arguably enables a simpler "drag-and-drop" functionality, not only for an established customer's ECG file uploads, but also for his/her subsequent A-ECG Report downloads.  If necessary, depending on the customer's needs and location, such folders can also be made fully HIPAA compliant, for example via Sookasa for Dropbox. Customers who utilize our European-built PC ECG hardware for 5-min and other 12-lead ECG data collections can also experience an extreme of convenience wherein the original PC ECG data collection software can also be installed into such a shared folder, e.g., within Dropbox or Sookasa for Dropbox, such that any newly collected data files can also be instantaneously shared with our A-ECG analytical facilities in Switzerland, if desired. Such a procedure can also facilitate the fastest possible A-ECG Report turnaround times.   

Supported Formats and File Types

Supported XML (or .xml) file types

1) General Electric (GE) .xml formatted files. Includes 12-lead ECG .xml files collected and stored on (and exported from) GE MAC 5000 and 5500 machines and the GE MUSE Electronic Health Record (EHR) system. Some initial (pre-exercise) portions of XML files collected on GE CASE exercise stress test ECG machines (i.e., the "median samples" and/or "strip data" portions of those 12-lead ECG files) may also be supported for snapshot-style A-ECG analyes, assuming both file compatibility and that the pre-exercise portion was performed with an awake patient quietly resting in the supine position.

2) Philips' Medical .xml formatted files, i.e., Sierra XML.  Includes 12-lead ECG .xml files collected and stored on (and exported from) Philips' TC50 and TC70 ECG machines, possibly some older Philips' machines, and the Philips' TraceMaster EHR system(s).

3) Mortara .xml formatted files, i.e., base 64-encoded xml files. Includes 12-lead snapshot ECG .xml files collected and stored on (and exported from) most modern Mortara ECG machines (ELI series), and also from Mortara H12+ Holter recorders, after use of associated Mortara software. For Mortara .xml formatted files of at least 5-min duration collected on Mortara H12+ high-fidelity Holter recorders (i.e., exported and/or converted to .xml via Mortara's H-Scribe software), upload or share only that particular <1-hour segment that contains the 5-min worth of 12-lead Mortara-formatted .xml data that you want analyzed for full-disclosure A-ECG results. If using the website, then within the "Comments" box in the MANAGE ECG FILE area, also specify the exact time points within the <1-hour file when the supine resting data collection for A-ECG began and ended.

4) Schiller .xml formatted files. Includes 12-lead ECG .xml files exported from most of Schiller's modern 12-lead ECG machines wherein the raw ECG data within Schiller's .xml files are stored in ASCII format.  

5) The HL7 annotated ECG XML format, assuming that it is readable (viewable) within the free "ECG Viewer" program located here, which is courtesy of M. van Ettinger.

6) Other manufacturer's XML formats are possibly supported, depending on whether or not the specific manufacturer has made its .xml file format publicly available. Clinicians and Researchers: if you have an .xml file from an ECG manufacturer other than one of those noted above and are using the website, then please select the "Other .xml" choice for "Type of File" in MANAGE ECG FILE section. Then in the "Comments" box there, type the name of the manufacturer and their exact model of 12-lead ECG machine from which you obtained the file. We will then contact you and let you know if your file is analyzable for A-ECG. Note that in some cases, your "Other .xml" file will ultimately be analyzable, but it may take some weeks before our correspondence with the given manufacturer leads to a successful ability to decipher their data format. In general, before you upload an .xml file type that is not listed above, first check to see if your given machine can also export one of the "standard" formats listed below. If it can, then export that "standard" format instead, then check to see if your "standard"-formatted file is readable within M. van Ettinger's free "ECG Viewer" program located here.  If your file is "clean" and it's readable within M. van Ettinger's program, then we'll likely be able to analyze it and produce an A-ECG Report for it.

Supported "standard" and special formats:

1) SCP-ECG formats (Standard Communication Protocol for Computer-assisted Electrocardiography):  Any manufacturer's .scp formatted 12-lead snapshot ECG  file that is readable (viewable) within M. van Ettinger's free "ECG Viewer" program located here is usually supported. Many or most 12-lead ECG machines from European manufacturers are capable of exporting .scp formatted files, as are some American manufacturers' machines, especially those that were originally European, e.g., Welch-Allyn's CardioPerfect (originally Dutch); QRS Diagnostic's Universal ECG (originally Belgian), etc. Note however that the given .scp formatted file must be stored at the .scp standard of 500 Hz (i.e., 500 samples/sec/channel). 

2) DICOM, HL7 aECG (XML), ISHNE & MUSE-XML formatted 12-lead snapshot ECG files that are readable (viewable) within M. van Ettinger's free "ECG Viewer" program as linked above.  M. van Ettinger has also provided examples of DICOM, HL7 and SCP files here. Note that if your SCP-ECG, DICOM, or HL7 aECG XML formatted file is clean as well as readable within M. van Ettinger's program (something that you should test yourself before uploading these file types for A-ECG analyses), then we should also be able to produce an A-ECG Report for that file.  However, if it is not readable within M. van Ettinger's program, then it's less likely that we'll be able to analyze it for A-ECG. Thus if you have a file of any of these types and you yourself cannot read it within M. van Ettinger's free program, you should first contact your ECG machine's manufacturer to ascertain why their file is not compatible with M. van Ettinger's reader for the given "standard" format.

3) Epiphany Healthcare's .esi format for 12-lead snapshot ECGs, exportable from Epiphany's "CardioServer" software by any of its users. As an ECG format consolidator, Epiphany itself supports multiple ECG manufacturers' proprietary and other formats, including those of several that we do not yet directly support.  Thus for those practitioners who currently use Epiphany, or who have access to Epiphany's CardioServer product through their clinics or hospitals, Epiphany's exportable .esi file type can serve as a good intermediary for enabling A-ECG Reports. For the long list of 12-lead ECG data formats (ECG machines) that Epiphany supports, and that can thus also be used for A-ECG whenever Epiphany's .esi format is available as an intermediary for sharing or upload to our site, see Epiphany's "Cardiographs" section here.

4) CSV (comma separated values) formatted files that are in any of the following .csv formats: (A) The .csv 12-lead snapshot ECG format that can be exported from M. van Ettinger's free "ECG Viewer" program located here . For this type of file, the sample rate should be 500 Hz (samples/sec) per channel, the amplitude in uV, and the lead order should be as follows: I, II, V1-V6. (B) A .csv format that uses a sample rate of either 500 Hz or 1000 Hz per channel, amplitude in uV, and the following lead order: I, II, III, aVR, aVL, aVF, V1-V6.  Examples of this .csv format, in full-disclosure (longer file) form, can be found here (500 Hz) and here (1000 Hz).  For this type of .csv file, please begin the actual ECG data on line 17 as shown in the linked example files, specifying the sampling rate as either 500 Hz or 1000 Hz on line 11 of your .csv file, as also shown in the example files.  If needed, also carefully manually enter into the file any relevant data for your patient on lines 1-16 as shown in the examples;  or (C) A .csv format that uses a sample rate 1000 Hz, amplitude in uV, and the following lead order: V1-V6, I, II.

Supported binary and other formats for full-disclosure ECG:

1) The NASA .EKG high-resolution 12-lead ECG binary format, as described in Appendix S1 here

2) IMED's proprietary binary format (.crc), utilized within SpaceEKG PC-based ECG systems, and within Cardiax PC-based ECG systems. If uploading a .crc file, note that the given alphanumeric-suffixed data file that is co-created with the .crc file at exportation from SpaceEKG or Cardiax, and that shares the same prefix as the .crc file, must also accompany the .crc file.  IMED's exportable .csv format, sampled at either 500 Hz or preferably at 1000 Hz (if also requesting A-ECG Age Scoring), is also acceptable for full-disclosure ECG.  For the latter (.csv type) files, please follow the same instructions as in item (B) within the section describing CSV files immediately above.

3) The ISHNE high-resolution 12-lead ECG Holter format (.ecg), as described here.

4) Philips' binary (.bin) format, exportable from Philips' TC50 and TC70 machines, for any user of those machines who requests that Philips provide them with a full-disclosure ECG file export capability for research or other purposes. Contact your Philips salesperson for details. (Note that if this type of file is sampled at 500 Hz rather than 1000 Hz, then it cannot be used for A-ECG Heart Age Scoring). 

5) Mortara .xml formatted files of at least 5 min in length collected on Mortara H12+ Holter recorders (i.e., exported and/or converted to .xml via Mortara's H-Scribe software), most often in an .xml file that is 1 hour in length, or 1/24th of a 24-hour Holter record.