Routine electrocardiogram (ecg) using at least 12 leads with tracing
Medicare pricing data for 34,439 providers across 52 states
This procedure has a 8.5x markup — hospitals charge $52.93 but Medicare allows only $6.22. Uninsured patients may face bills 8.5 times higher than what insurance negotiates. 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
Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS code 93005) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.22, but hospitals typically charge $52.93 — a 8.5x 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 $6.22, your out-of-pocket cost would be approximately $1.24. 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 8.5x more than what Medicare allows for this procedure. Medicare actually pays $4.39 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $7 | $74 | 892 | 17,491 | +17.8% |
| District of Columbia | $7 | $47 | 115 | 662 | +16.6% |
| New Jersey | $7 | $50 | 263 | 3,323 | +14.6% |
| California | $7 | $47 | 3,788 | 47,604 | +13.5% |
| Hawaii | $7 | $64 | 59 | 333 | +12.1% |
| Connecticut | $7 | $33 | 159 | 1,154 | +11.9% |
| Massachusetts | $7 | $50 | 1,015 | 12,322 | +11.4% |
| Rhode Island | $7 | $35 | 70 | 242 | +9.5% |
| Washington | $7 | $58 | 2,848 | 25,261 | +8.0% |
| Alaska | $7 | $96 | 166 | 925 | +7.4% |
| Colorado | $7 | $26 | 682 | 5,785 | +5.0% |
| New Hampshire | $7 | $64 | 330 | 3,271 | +4.8% |
| Delaware | $6 | $41 | 45 | 269 | +2.4% |
| Maryland | $6 | $18 | 298 | 23,017 | +2.3% |
| Montana | $6 | $61 | 317 | 1,853 | +1.6% |
| Nevada | $6 | $41 | 371 | 3,323 | +1.6% |
| Illinois | $6 | $86 | 1,679 | 25,157 | +1.4% |
| Puerto Rico | $6 | $10 | 21 | 188 | +1.4% |
| Wyoming | $6 | $82 | 133 | 1,023 | +1.0% |
| Florida | $6 | $40 | 930 | 11,439 | +0.3% |
| Minnesota | $6 | $44 | 891 | 7,447 | 0.0% |
| Oregon | $6 | $71 | 1,242 | 11,956 | -0.2% |
| Virginia | $6 | $37 | 403 | 3,787 | -0.2% |
| Vermont | $6 | $35 | 144 | 1,796 | -0.3% |
| North Dakota | $6 | $61 | 281 | 2,748 | -0.5% |
| Ohio | $6 | $42 | 669 | 7,199 | -1.6% |
| South Dakota | $6 | $49 | 243 | 2,539 | -1.6% |
| New Mexico | $6 | $37 | 86 | 636 | -1.9% |
| Arizona | $6 | $29 | 483 | 3,667 | -2.4% |
| Texas | $6 | $40 | 1,658 | 25,079 | -3.1% |
| Georgia | $6 | $36 | 566 | 6,956 | -4.5% |
| Pennsylvania | $6 | $52 | 1,148 | 12,089 | -4.7% |
| Michigan | $6 | $37 | 1,033 | 8,033 | -5.3% |
| North Carolina | $6 | $38 | 1,440 | 24,549 | -6.1% |
| Wisconsin | $6 | $107 | 1,491 | 14,864 | -6.8% |
| Utah | $6 | $22 | 647 | 6,226 | -6.9% |
| Maine | $6 | $45 | 240 | 915 | -7.2% |
| Louisiana | $6 | $70 | 269 | 4,215 | -8.5% |
| Indiana | $6 | $64 | 876 | 10,734 | -8.7% |
| Missouri | $6 | $44 | 601 | 7,758 | -8.7% |
| South Carolina | $6 | $43 | 428 | 6,159 | -9.0% |
| Iowa | $6 | $47 | 734 | 7,439 | -9.3% |
| Kansas | $6 | $53 | 681 | 12,464 | -9.5% |
| Oklahoma | $6 | $30 | 331 | 2,338 | -10.0% |
| Idaho | $6 | $29 | 414 | 2,179 | -10.5% |
| Tennessee | $6 | $30 | 706 | 9,667 | -10.5% |
| Kentucky | $6 | $34 | 841 | 5,731 | -10.6% |
| West Virginia | $6 | $107 | 363 | 2,510 | -10.6% |
| Alabama | $6 | $32 | 239 | 2,453 | -11.3% |
| Nebraska | $6 | $23 | 156 | 2,337 | -11.4% |
| Arkansas | $5 | $157 | 570 | 10,165 | -13.8% |
| Mississippi | $5 | $52 | 334 | 9,257 | -14.3% |
⚠️ 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