Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
Medicare pricing data for 22,491 providers across 52 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
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS code 93016) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.43, but hospitals typically charge $89.33 — a 4.4x 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 $20.43, your out-of-pocket cost would be approximately $4.09. 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 4.4x more than what Medicare allows for this procedure. Medicare actually pays $15.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $24 | $188 | 48 | 921 | +19.4% |
| New York | $22 | $88 | 1,011 | 35,083 | +8.0% |
| District of Columbia | $22 | $76 | 40 | 590 | +7.9% |
| California | $22 | $100 | 1,599 | 43,844 | +7.3% |
| Connecticut | $22 | $87 | 294 | 6,597 | +6.4% |
| New Jersey | $22 | $93 | 844 | 32,122 | +6.1% |
| Massachusetts | $21 | $98 | 598 | 29,233 | +4.5% |
| Hawaii | $21 | $69 | 71 | 1,816 | +3.3% |
| Rhode Island | $21 | $57 | 86 | 1,759 | +2.6% |
| Maryland | $21 | $77 | 278 | 7,033 | +2.5% |
| Illinois | $21 | $116 | 839 | 43,454 | +2.0% |
| Puerto Rico | $21 | $44 | 35 | 308 | +1.8% |
| Minnesota | $21 | $119 | 500 | 13,534 | +0.5% |
| Florida | $21 | $73 | 1,526 | 46,172 | +0.4% |
| Michigan | $21 | $72 | 839 | 26,139 | +0.4% |
| Pennsylvania | $20 | $109 | 1,093 | 37,665 | +0.1% |
| Virginia | $20 | $70 | 515 | 15,745 | 0.0% |
| Arizona | $20 | $60 | 376 | 9,111 | -0.2% |
| New Mexico | $20 | $73 | 77 | 2,837 | -0.7% |
| Delaware | $20 | $161 | 79 | 3,081 | -0.8% |
| Vermont | $20 | $104 | 38 | 1,561 | -1.0% |
| Texas | $20 | $79 | 1,478 | 40,371 | -1.1% |
| Washington | $20 | $63 | 513 | 16,801 | -1.1% |
| Oregon | $20 | $68 | 269 | 4,352 | -1.1% |
| North Dakota | $20 | $95 | 79 | 3,704 | -1.3% |
| Colorado | $20 | $59 | 328 | 10,150 | -1.5% |
| Missouri | $20 | $85 | 449 | 24,478 | -1.6% |
| Ohio | $20 | $83 | 1,204 | 42,451 | -1.8% |
| Georgia | $20 | $85 | 854 | 27,313 | -1.8% |
| Nevada | $20 | $68 | 73 | 2,556 | -2.0% |
| New Hampshire | $20 | $146 | 178 | 6,930 | -2.2% |
| Tennessee | $20 | $69 | 535 | 27,412 | -2.3% |
| Oklahoma | $20 | $73 | 304 | 15,487 | -2.4% |
| North Carolina | $20 | $94 | 861 | 22,931 | -2.4% |
| Alabama | $20 | $71 | 308 | 10,223 | -2.8% |
| South Dakota | $20 | $74 | 105 | 7,000 | -2.8% |
| Mississippi | $20 | $97 | 219 | 9,220 | -3.2% |
| West Virginia | $20 | $98 | 151 | 5,867 | -3.2% |
| Maine | $20 | $82 | 140 | 4,003 | -3.5% |
| Wisconsin | $20 | $238 | 587 | 15,707 | -3.6% |
| Iowa | $20 | $78 | 266 | 10,468 | -3.9% |
| Indiana | $20 | $82 | 560 | 27,962 | -4.0% |
| Kansas | $20 | $88 | 290 | 10,504 | -4.0% |
| Idaho | $20 | $57 | 112 | 4,242 | -4.1% |
| Arkansas | $20 | $54 | 220 | 11,606 | -4.2% |
| South Carolina | $20 | $103 | 386 | 13,518 | -4.3% |
| Louisiana | $19 | $72 | 387 | 11,710 | -4.8% |
| Nebraska | $19 | $61 | 263 | 5,452 | -5.3% |
| Kentucky | $19 | $64 | 314 | 11,547 | -5.8% |
| Wyoming | $19 | $160 | 44 | 1,233 | -7.9% |
| Montana | $19 | $77 | 72 | 2,555 | -8.0% |
| Utah | $18 | $61 | 139 | 4,529 | -10.3% |
⚠️ 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