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See a sample rate comparisonHCPCS G0405 Fee Schedule
Medicare rates as of October 2026
HCPCS G0405 is classified under Procedures / Professional Services, in the Initial Services for Medicare Enrollment subgroup.
Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Initial Services for Medicare Enrollment |
| Common Revenue Codes | 09850521 |
| Medicare Fee Schedule | $8.35 national non-facility rate (2026)View Medicare rates for G0405 |
| Medicaid Fee Schedule | $7.005 median of the 6 states in the free previewView Medicaid rates for G0405 |
National average reimbursement for HCPCS G0405 by major payers:
$11.27
BCBS / Anthem
$10.92
UnitedHealthcare
$10.07
Aetna
$8.55
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0405.
HCPCS G0405
5 of 25 sample ratesHigher to lower in this preview
David Epstein
Brevard Physician Associates, PLLC
$23.37Published rateLower Oconee Community Hospital Inc
$12.27Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$10.76Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$9.22Published rateMiguel Arenas
Miguel A Arenas Md PC
$6.96Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0405 vs. Other Initial Services for Medicare Enrollment Codes
The table lists codes related to G0405. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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 |
| G0406-HCPCS | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0405. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0405 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 G0405?
Hospital price transparency files list HCPCS G0405 under these revenue codes: 0985 and 0521. A revenue code names the hospital department or charge category for the line; it does not change what the service is.