Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination
Medicare pricing data for 3,210 providers across 48 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; interpretation and report only, performed as a screening for the initial preventive physical examination (HCPCS code G0405) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.95, but hospitals typically charge $36.85 — a 4.6x 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 $7.95, your out-of-pocket cost would be approximately $1.59. 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 4.6x more than what Medicare allows for this procedure. Medicare actually pays $3.81 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $9 | $98 | 2 | 50 | +11.4% |
| New York | $9 | $52 | 232 | 748 | +8.6% |
| New Jersey | $9 | $34 | 62 | 300 | +7.7% |
| California | $8 | $58 | 156 | 832 | +6.5% |
| Maryland | $8 | $45 | 50 | 179 | +6.0% |
| Illinois | $8 | $37 | 174 | 747 | +4.7% |
| Connecticut | $8 | $115 | 28 | 48 | +3.6% |
| Washington | $8 | $24 | 135 | 290 | +2.6% |
| Colorado | $8 | $25 | 86 | 266 | +2.0% |
| Florida | $8 | $23 | 192 | 731 | +0.9% |
| New Hampshire | $8 | $62 | 104 | 367 | +0.4% |
| Montana | $8 | $22 | 33 | 126 | +0.3% |
| Michigan | $8 | $28 | 162 | 653 | -0.3% |
| South Dakota | $8 | $20 | 18 | 45 | -0.8% |
| Nevada | $8 | $64 | 11 | 19 | -1.0% |
| Pennsylvania | $8 | $43 | 82 | 285 | -1.0% |
| North Dakota | $8 | $46 | 24 | 58 | -1.4% |
| Minnesota | $8 | $35 | 41 | 112 | -1.5% |
| Texas | $8 | $30 | 145 | 455 | -1.8% |
| Georgia | $8 | $47 | 69 | 251 | -2.1% |
| Wisconsin | $8 | $47 | 66 | 257 | -2.1% |
| Maine | $8 | $32 | 33 | 57 | -2.3% |
| Wyoming | $8 | $28 | 12 | 36 | -2.3% |
| Delaware | $8 | $24 | 33 | 120 | -2.5% |
| Utah | $8 | $23 | 25 | 61 | -2.5% |
| Kansas | $8 | $31 | 49 | 273 | -2.8% |
| Oregon | $8 | $36 | 20 | 38 | -3.0% |
| Rhode Island | $8 | $31 | 4 | 68 | -3.0% |
| Massachusetts | $8 | $42 | 66 | 179 | -3.1% |
| Missouri | $8 | $27 | 70 | 198 | -3.4% |
| Nebraska | $8 | $48 | 30 | 167 | -3.9% |
| Ohio | $8 | $44 | 109 | 202 | -3.9% |
| Virginia | $8 | $22 | 145 | 494 | -3.9% |
| Arizona | $8 | $43 | 62 | 156 | -3.9% |
| Indiana | $8 | $33 | 46 | 87 | -4.0% |
| Iowa | $8 | $28 | 99 | 501 | -4.4% |
| Kentucky | $8 | $24 | 8 | 51 | -4.5% |
| Oklahoma | $8 | $19 | 23 | 52 | -5.5% |
| Arkansas | $8 | $12 | 14 | 73 | -5.5% |
| South Carolina | $7 | $44 | 31 | 108 | -5.8% |
| Vermont | $7 | $28 | 43 | 73 | -6.0% |
| New Mexico | $7 | $19 | 14 | 48 | -6.2% |
| North Carolina | $7 | $33 | 209 | 621 | -6.4% |
| Tennessee | $7 | $32 | 65 | 191 | -6.5% |
| Idaho | $7 | $15 | 72 | 150 | -6.7% |
| Alabama | $7 | $54 | 16 | 33 | -7.5% |
| Mississippi | $7 | $41 | 17 | 51 | -8.1% |
| West Virginia | $7 | $22 | 7 | 17 | -8.8% |
⚠️ 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