93015

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician

Medicare pricing data for 12,807 providers across 52 states

🤖AI Overview

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

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS code 93015) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.53, but hospitals typically charge $289.51 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.11

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $65.53, your out-of-pocket cost would be approximately $13.11. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$65.53
Average Hospital Charge
$289.51
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$289.51
Medicare Allowed$65.53
Medicare Payment$51.22

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $51.22 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$81$825451,911+24.1%
California$73$2731,578109,218+11.4%
Maine$73$384479+10.8%
District of Columbia$72$301442,680+10.0%
New York$72$3991,10177,086+10.0%
New Hampshire$71$58014186+7.6%
New Jersey$70$33161639,251+7.3%
Massachusetts$69$33723313,295+5.7%
Maryland$68$25037637,967+3.8%
Connecticut$67$3451876,501+2.9%
Hawaii$67$24617549+2.2%
Pennsylvania$66$34045221,891+1.3%
Illinois$66$40230821,219+0.4%
Virginia$66$24533123,294+0.3%
Rhode Island$65$298291,371-0.3%
Delaware$65$219416,919-0.3%
Oregon$65$293662,017-1.1%
Nevada$65$26515413,789-1.4%
Wyoming$65$1,05217684-1.6%
Washington$64$2151574,370-1.9%
Colorado$64$2091211,548-2.0%
Minnesota$64$428961,059-2.4%
Puerto Rico$64$1171121,011-2.5%
Texas$64$2971,25193,934-3.0%
Florida$63$2031,484115,386-4.3%
Arizona$63$19740937,908-4.4%
Michigan$62$19329315,127-5.8%
Georgia$61$32556227,907-6.4%
Vermont$61$3202254-6.4%
Wisconsin$61$7521093,608-6.8%
Montana$61$3207307-6.9%
Utah$61$232491,335-7.2%
Missouri$61$375892,751-7.6%
Louisiana$60$24323916,038-8.7%
North Carolina$60$34642515,574-9.2%
New Mexico$59$214171,357-9.2%
Iowa$59$323603,102-9.3%
North Dakota$59$956276-9.9%
Kentucky$59$240704,278-10.1%
Ohio$59$2353067,392-10.1%
Mississippi$59$4079810,246-10.3%
Oklahoma$59$235652,810-10.7%
South Carolina$59$36327620,495-10.7%
Alabama$58$21828517,281-10.9%
Indiana$58$3731163,098-11.0%
Arkansas$58$274633,067-11.0%
Idaho$58$32727606-11.4%
Kansas$58$287918,854-11.6%
Nebraska$58$270512,825-11.7%
Tennessee$58$26820910,361-11.8%
West Virginia$57$337242,023-12.5%
South Dakota$52$1652484-19.9%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber