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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Prices for HCPCS G0404 by hospital
HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$6.49 – $1182 plans$106$132
Harborview Medical CenterSeattleFile dated 2026-04-01—$28.83$41.18
Highline Medical CenterBurienFile dated 2026-02-28—$41.12$135
Island HospitalAnacortes$34.52 – $36.343 plans$41.00$41.00
St Anthony HospitalGig HarborFile dated 2026-02-28—$40.96$135
St Clare HospitalLakewoodFile dated 2026-02-28—$38.82$135
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$47.59$135
St Francis Community HospitalFederal WayFile dated 2026-02-28—$42.26$135
St Joseph Medical CenterTacomaFile dated 2026-02-28—$44.60$135
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$59.44$135
University of Washington Medical CtrSeattleFile dated 2026-04-01—$19.65$28.07
Virginia Mason Medical CenterSeattle—$42.33$83.00

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)