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See a sample rate comparisonHCPCS G0403 Fee Schedule
Medicare rates as of October 2026
HCPCS G0403 is classified under Procedures / Professional Services, in the Initial Services for Medicare Enrollment subgroup.
Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Initial Services for Medicare Enrollment |
| Common Revenue Codes | 07300521 |
| Medicare Fee Schedule | $15.36 national non-facility rate (2026)View Medicare rates for G0403 |
| Medicaid Fee Schedule | $11.87 median of the 5 states in the free previewView Medicaid rates for G0403 |
National average reimbursement for HCPCS G0403 by major payers:
$21.23
BCBS / Anthem
$23.19
UnitedHealthcare
$20.36
Aetna
$15.72
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0403.
HCPCS G0403
5 of 25 sample ratesHigher to lower in this preview
Leonardo Holguin
$57.36Published rateDaniel Goldman
Advocare, LLC
$29.36Published rateMadhuri Adabala
Capital Health Multispecialty Group
$18.85Published rateMaria Comsti
Comsti Medical LLC
$14.38Published rateAra Manougian
Ara Manougian Md LLC
$10.92Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0403 vs. Other Initial Services for Medicare Enrollment Codes
The table lists codes related to G0403. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0402-HCPCS | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment |
| G0403-HCPCS | Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
| G0404-HCPCS | Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0403. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0403 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
Which revenue codes are billed with HCPCS G0403?
Hospital price transparency files list HCPCS G0403 under these revenue codes: 0730 and 0521. A revenue code names the hospital department or charge category for the line; it does not change what the service is.