Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC ECG - RTNE W/INTERP & REPAIRT - INIT
Buda, TX
See all hospitals reporting HCPCS G0404 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $63 is 105% above the median hospital's median price ($31), higher than 82% of the 1,333 hospitals reporting HCPCS G0404. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 5 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Humana medicare facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 7 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 8 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 10 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 11 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 12 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 13 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 14 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 15 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 16 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 17 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 18 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 20 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 22 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 23 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 24 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
Last updated: Jun 13, 2026
See Routine 12-lead ECG screening tracing (no interpretation) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.