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See a sample rate comparisonHCPCS G0404 Fee Schedule
Medicare rates as of October 2026
HCPCS G0404 is classified under Procedures / Professional Services, in the Initial Services for Medicare Enrollment subgroup.
Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Initial Services for Medicare Enrollment |
| Hospital Outpatient Group (APC) | APC 5731 - Level 1 Minor Procedures |
| Common Revenue Codes | 07300521 |
| Medicare Fee Schedule | $7.01 national non-facility rate (2026)View Medicare rates for G0404 |
| Medicaid Fee Schedule | $6.37 median of the 6 states in the free previewView Medicaid rates for G0404 |
National average reimbursement for HCPCS G0404 by major payers:
$10.51
BCBS / Anthem
$12.57
UnitedHealthcare
$8.95
Aetna
$6.83
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0404.
HCPCS G0404
5 of 25 sample ratesHigher to lower in this preview
Lallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$43.83Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$22.51Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$17.45Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$14.93Published rateChi Memorial Hospital
Chi Memorial Hospital - Georgia
$8.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0404 vs. Other Initial Services for Medicare Enrollment Codes
The table lists codes related to G0404. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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 |
| G0405-HCPCS | Electrocardiogram, routine ECG with 12 leads; interpretation and report only, 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 G0404. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0404 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
What APC is HCPCS G0404 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0404 to APC 5731 (Level 1 Minor Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0404?
Hospital price transparency files list HCPCS G0404 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.