HCPCS G0403

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report

Current codeExternal Electrocardiographic Monitoring15 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS G0403 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$84.211 plan——
Cascade Medical CenterLeavenworth$22.80 – $42.012 plans$53.60$67.00
Deaconess Medical CenterSpokaneFile dated 2026-08-27$61.181 plan——
Island HospitalAnacortes$8.48 – $10111 plans$106$106
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$24.091 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$57.931 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$34.761 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$34.761 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$34.761 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$61.041 plan——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$39.751 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$34.761 plan——
Virginia Mason Medical CenterSeattle$12.80 – $65.428 plans——
WhidbeyHealth Medical CenterCoupeville—$100$100

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$17.57 in an office; $17.57 in a hospital or surgery center
Doctor's fee, rest of Washington
$15.76 in an office; $15.76 in a hospital or surgery center