Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
Medicare pricing data for 23,634 providers across 52 states
This procedure has a 5.7x markup — hospitals charge $78.42 but Medicare allows only $13.68. Uninsured patients may face bills 5.7 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) with review by physician (HCPCS code 93018) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.68, but hospitals typically charge $78.42 — a 5.7x 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 $13.68, your out-of-pocket cost would be approximately $2.74. 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 5.7x more than what Medicare allows for this procedure. Medicare actually pays $10.41 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $18 | $225 | 45 | 899 | +28.1% |
| New Jersey | $15 | $65 | 896 | 34,420 | +7.5% |
| New York | $15 | $71 | 1,099 | 39,986 | +7.1% |
| District of Columbia | $15 | $77 | 50 | 737 | +6.4% |
| California | $15 | $80 | 1,818 | 53,601 | +6.3% |
| Connecticut | $14 | $96 | 319 | 9,122 | +5.0% |
| Massachusetts | $14 | $109 | 642 | 31,098 | +4.3% |
| Maryland | $14 | $81 | 317 | 8,191 | +3.9% |
| Illinois | $14 | $116 | 912 | 51,579 | +1.5% |
| Colorado | $14 | $50 | 389 | 13,254 | +1.5% |
| Delaware | $14 | $126 | 76 | 3,174 | +1.2% |
| Hawaii | $14 | $48 | 72 | 1,987 | +1.0% |
| Rhode Island | $14 | $52 | 125 | 2,828 | +0.6% |
| Puerto Rico | $14 | $31 | 49 | 442 | +0.4% |
| Virginia | $14 | $52 | 651 | 26,113 | +0.2% |
| Florida | $14 | $58 | 1,586 | 48,937 | +0.1% |
| Washington | $14 | $41 | 542 | 19,610 | 0.0% |
| New Hampshire | $14 | $142 | 143 | 8,208 | -0.2% |
| Pennsylvania | $14 | $125 | 1,178 | 43,917 | -0.3% |
| Michigan | $14 | $61 | 873 | 33,814 | -0.4% |
| North Dakota | $14 | $90 | 77 | 3,782 | -0.5% |
| Oregon | $14 | $79 | 301 | 7,024 | -0.8% |
| Minnesota | $14 | $90 | 437 | 14,304 | -0.9% |
| Texas | $14 | $65 | 1,688 | 49,063 | -1.2% |
| Vermont | $14 | $85 | 34 | 2,164 | -1.2% |
| Arizona | $14 | $48 | 381 | 11,838 | -1.2% |
| Nevada | $14 | $57 | 189 | 6,465 | -1.3% |
| New Mexico | $13 | $49 | 91 | 4,099 | -1.4% |
| Georgia | $13 | $68 | 813 | 29,672 | -1.8% |
| Missouri | $13 | $90 | 485 | 26,184 | -2.0% |
| North Carolina | $13 | $85 | 821 | 26,311 | -2.0% |
| Montana | $13 | $44 | 91 | 3,856 | -2.0% |
| Utah | $13 | $43 | 159 | 6,708 | -2.0% |
| Ohio | $13 | $63 | 1,156 | 45,882 | -2.1% |
| Maine | $13 | $54 | 124 | 4,015 | -2.2% |
| Louisiana | $13 | $52 | 395 | 13,690 | -2.6% |
| Oklahoma | $13 | $58 | 317 | 20,941 | -2.7% |
| Kansas | $13 | $87 | 280 | 14,267 | -2.9% |
| South Carolina | $13 | $95 | 424 | 17,724 | -2.9% |
| Nebraska | $13 | $47 | 187 | 6,946 | -3.1% |
| West Virginia | $13 | $94 | 138 | 6,036 | -3.1% |
| Indiana | $13 | $77 | 581 | 32,223 | -3.3% |
| Alabama | $13 | $61 | 332 | 12,065 | -3.5% |
| Iowa | $13 | $83 | 251 | 11,424 | -3.7% |
| Tennessee | $13 | $70 | 535 | 31,125 | -3.7% |
| Wisconsin | $13 | $209 | 484 | 17,395 | -3.7% |
| Wyoming | $13 | $181 | 52 | 996 | -3.8% |
| Kentucky | $13 | $51 | 360 | 20,576 | -3.9% |
| Mississippi | $13 | $99 | 214 | 10,499 | -3.9% |
| South Dakota | $13 | $52 | 98 | 6,926 | -4.3% |
| Idaho | $13 | $38 | 117 | 4,728 | -4.5% |
| Arkansas | $13 | $62 | 232 | 13,939 | -4.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber