HCPCS G0404

Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

Current codeExternal Electrocardiographic Monitoring37 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 G0404 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$46.75 – $15016 plans——
Cascade Medical CenterLeavenworth$11.40 – $82.762 plans$106$132
Deaconess Medical CenterSpokaneFile dated 2026-08-27$45.37 – $1119 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$53.59 – $71.303 plans$28.83$41.18
Highline Medical CenterBurienFile dated 2026-02-28$51.79 – $14716 plans$41.12$135
Island HospitalAnacortes$27.15 – $62.1415 plans$41.00$41.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$10.33 – $90.548 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$64.46 – $94.984 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$46.75 – $1967 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$46.75 – $14617 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$46.75 – $14617 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$46.75 – $14612 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$44.11 – $11110 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$36.95 – $21912 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$54.47 – $10712 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$56.60 – $2189 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$38.68 – $11811 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$39.53 – $10211 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$26.38 – $1659 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$28.27 – $13013 plans——
Skagit Valley HospitalMount Vernon$37.41 – $13511 plans$37.60$47.00
St Anthony HospitalGig HarborFile dated 2026-02-28$52.74 – $13917 plans$40.96$135
St Clare HospitalLakewoodFile dated 2026-02-28$52.74 – $13917 plans$38.82$135
St Elizabeth HospitalEnumclawFile dated 2026-02-28$44.85 – $22114 plans$47.59$135
St Francis Community HospitalFederal WayFile dated 2026-02-28$51.79 – $13917 plans$42.26$135
St Joseph Medical CenterTacomaFile dated 2026-02-28$53.30 – $13917 plans$44.60$135
St Michael Medical CenterSilverdaleFile dated 2026-02-28$57.08 – $12918 plans$59.44$135
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$49.41 – $11913 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$50.38 – $14214 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$50.24 – $14222 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$50.24 – $14216 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$46.75 – $13917 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$53.59 – $12511 plans$19.65$28.07
Virginia Mason Medical CenterSeattle$5.65 – $10110 plans$42.33$83.00
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$85.181 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$42.07 – $99.4813 plans——

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)
$8.47 in an office; $8.47 in a hospital or surgery center
Doctor's fee, rest of Washington
$7.29 in an office; $7.29 in a hospital or surgery center
Hospital outpatient payment (national)
$29.55 (APC 5731)