Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
Medicare pricing data for 27,583 providers across 51 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS code G0403) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $14.20, but hospitals typically charge $52.00 — a 3.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $14.20, your out-of-pocket cost would be approximately $2.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $6.69 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $17 | $100 | 51 | 152 | +22.1% |
| New York | $16 | $69 | 1,573 | 5,928 | +15.6% |
| District of Columbia | $16 | $45 | 67 | 265 | +15.3% |
| New Jersey | $16 | $58 | 1,316 | 6,003 | +11.1% |
| California | $16 | $56 | 1,270 | 5,045 | +10.8% |
| Maryland | $15 | $47 | 867 | 4,419 | +6.9% |
| Connecticut | $15 | $55 | 685 | 1,969 | +6.9% |
| Massachusetts | $15 | $64 | 780 | 2,628 | +6.8% |
| Illinois | $15 | $69 | 950 | 3,795 | +5.3% |
| Rhode Island | $15 | $49 | 116 | 328 | +2.6% |
| Hawaii | $15 | $33 | 17 | 46 | +2.4% |
| Virginia | $14 | $48 | 1,121 | 4,972 | +1.1% |
| Washington | $14 | $46 | 456 | 1,215 | +1.1% |
| Colorado | $14 | $40 | 590 | 2,084 | +0.4% |
| Michigan | $14 | $44 | 943 | 3,064 | +0.1% |
| New Hampshire | $14 | $68 | 106 | 338 | -0.5% |
| Florida | $14 | $41 | 2,177 | 10,045 | -0.6% |
| Pennsylvania | $14 | $50 | 1,537 | 6,409 | -0.6% |
| Delaware | $14 | $34 | 121 | 612 | -0.9% |
| Maine | $14 | $59 | 40 | 72 | -1.4% |
| Montana | $14 | $39 | 93 | 370 | -2.3% |
| Nevada | $14 | $42 | 79 | 238 | -2.5% |
| Vermont | $14 | $64 | 32 | 98 | -3.1% |
| Texas | $14 | $51 | 1,948 | 7,438 | -3.2% |
| Georgia | $14 | $52 | 1,214 | 5,072 | -3.3% |
| South Dakota | $14 | $64 | 33 | 140 | -3.5% |
| Oregon | $14 | $47 | 148 | 407 | -3.8% |
| Utah | $14 | $41 | 79 | 248 | -4.0% |
| Minnesota | $14 | $65 | 131 | 242 | -4.2% |
| Missouri | $14 | $54 | 354 | 1,195 | -4.3% |
| Ohio | $14 | $47 | 1,270 | 4,786 | -4.6% |
| Wisconsin | $13 | $157 | 368 | 1,111 | -5.2% |
| Arizona | $13 | $37 | 846 | 3,200 | -5.4% |
| North Carolina | $13 | $52 | 1,649 | 7,160 | -6.5% |
| Louisiana | $13 | $51 | 107 | 436 | -6.9% |
| West Virginia | $13 | $44 | 61 | 160 | -6.9% |
| New Mexico | $13 | $47 | 80 | 205 | -7.0% |
| South Carolina | $13 | $53 | 763 | 3,790 | -7.0% |
| Oklahoma | $13 | $40 | 138 | 396 | -7.4% |
| Wyoming | $13 | $72 | 38 | 106 | -7.4% |
| Kansas | $13 | $56 | 296 | 1,318 | -7.7% |
| Iowa | $13 | $51 | 355 | 1,343 | -8.2% |
| Alabama | $13 | $38 | 248 | 863 | -8.2% |
| Indiana | $13 | $47 | 658 | 2,192 | -9.0% |
| Nebraska | $13 | $39 | 287 | 1,211 | -9.6% |
| Kentucky | $13 | $42 | 363 | 1,045 | -9.8% |
| Arkansas | $13 | $44 | 133 | 545 | -9.9% |
| Idaho | $13 | $42 | 54 | 161 | -10.1% |
| North Dakota | $13 | $80 | 9 | 14 | -10.1% |
| Tennessee | $13 | $48 | 860 | 3,581 | -10.9% |
| Mississippi | $13 | $49 | 86 | 301 | -11.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber