What do doctors typically charge for Electrocardiogram?

The nationwide median physician charge for Electrocardiogram (HCPCS G0404) is $26.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS G0404?

The standard insurance baseline reimbursement rate is $6.16. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Electrocardiogram

HCPCS G0404Medical Service

Electrocardiogram

Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination. Clinical pricing breakdown and utilization metrics across 37 practicing doctors nationwide.

$26.00

Peer Median Charge

Gross billed rate

$6.16

Standard Baseline

Customary allowable

4.2x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT G0404?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $26.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $6.16 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code G0404 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"