93017

Exercise or drug-induced heart stress test with electrocardiogram (ecg)

Medicare pricing data for 2,391 providers across 48 states

🤖AI Overview

This procedure has a 6.3x markup — hospitals charge $186.69 but Medicare allows only $29.86. Uninsured patients may face bills 6.3 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

Exercise or drug-induced heart stress test with electrocardiogram (ecg) (HCPCS code 93017) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $29.86, but hospitals typically charge $186.69 — a 6.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.97

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $29.86, your out-of-pocket cost would be approximately $5.97. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$29.86
Average Hospital Charge
$186.69
Markup Ratio
6.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$186.69
Medicare Allowed$29.86
Medicare Payment$23.25

Hospitals charge 6.3x more than what Medicare allows for this procedure. Medicare actually pays $23.25 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$43$72139+45.1%
New Jersey$39$141263,683+29.6%
Hawaii$38$9412249+28.3%
Illinois$35$3266913,973+17.0%
Montana$34$77546+14.9%
California$34$1681417,132+14.7%
New Hampshire$33$26431179+9.9%
Maryland$33$10714335+8.8%
Washington$32$178972,159+8.7%
Pennsylvania$32$16034282+7.7%
Massachusetts$32$16010119+6.6%
Arkansas$31$30113205+2.5%
New York$30$148451,384+1.7%
Iowa$30$136321,049-0.3%
Connecticut$30$173821-0.4%
Colorado$30$9351750-0.7%
Alaska$29$445517-1.9%
New Mexico$29$100745-2.5%
North Dakota$29$1191029-3.6%
Minnesota$28$15365260-5.3%
Missouri$28$379451,225-5.9%
Rhode Island$28$111561-6.0%
Florida$28$1041856,197-6.2%
Virginia$28$131381,020-7.1%
Michigan$28$24842616-7.5%
Texas$27$1262105,290-8.2%
Utah$27$12231939-9.7%
Wisconsin$27$39058691-9.8%
Louisiana$27$1371204,637-10.0%
Wyoming$27$444325-10.9%
Arizona$26$92784,029-11.3%
Oregon$26$15622499-11.6%
Georgia$26$134771,304-12.0%
Kentucky$26$9215134-12.4%
South Dakota$26$1336104-13.3%
North Carolina$26$1761766,085-14.1%
Nevada$26$144454-14.3%
Kansas$26$168682,114-14.4%
Ohio$25$1371211,055-14.7%
Tennessee$25$104145746-14.7%
Idaho$25$2126128-15.1%
Mississippi$25$189421,399-15.7%
South Carolina$25$182711,683-15.9%
Oklahoma$25$14524323-16.6%
Indiana$25$10618339-17.2%
Nebraska$24$9712281-18.6%
Alabama$24$77751,662-20.1%
West Virginia$23$1,0156535-22.7%

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

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