93040

Electrocardiogram (ecg) 1 to 3 leads with review by physician

Medicare pricing data for 2,440 providers across 44 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

Electrocardiogram (ecg) 1 to 3 leads with review by physician (HCPCS code 93040) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.29, but hospitals typically charge $49.09 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.66

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.29, your out-of-pocket cost would be approximately $2.66. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.29
Average Hospital Charge
$49.09
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$49.09
Medicare Allowed$13.29
Medicare Payment$10.12

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $10.12 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$15$6722813,495+10.2%
Maryland$14$43401,187+5.4%
Rhode Island$14$4611113+4.7%
Alaska$14$97713+4.7%
New Jersey$14$581289,858+4.4%
California$14$3841518,167+3.9%
Virginia$14$40691,766+3.3%
Connecticut$14$34281,551+1.8%
Illinois$13$40631,531+0.8%
Washington$13$5353461+0.5%
Hawaii$13$21514+0.2%
Massachusetts$13$3543835-0.2%
Florida$13$251263,437-1.9%
Michigan$13$28311,213-2.4%
Colorado$13$2444837-3.8%
Delaware$13$528299-4.2%
Pennsylvania$13$33581,489-5.0%
Puerto Rico$13$13111-5.6%
Nevada$12$33641,681-7.5%
Missouri$12$4011388-8.2%
Oregon$12$4817200-8.4%
Texas$12$5140811,773-8.8%
Arizona$12$3843840-8.8%
New Mexico$12$29488-8.9%
Vermont$12$44514-9.0%
Utah$12$2415425-9.6%
Minnesota$12$421530-9.6%
Indiana$12$3923544-9.8%
Georgia$12$3954409-10.7%
North Carolina$12$431131,470-10.8%
Tennessee$12$5322164-10.9%
Ohio$12$32661,037-11.3%
Wisconsin$12$161341,546-11.8%
Louisiana$12$4414111-12.8%
West Virginia$12$3415229-13.0%
Kentucky$12$3217155-13.3%
Oklahoma$12$2218663-13.5%
Nebraska$11$139842-13.7%
South Carolina$11$6634861-13.8%
Mississippi$11$3316128-15.0%
Arkansas$11$211074-15.1%
Kansas$11$27575-17.2%
Idaho$11$30839-17.5%
Alabama$11$44261,359-18.6%

⚠️ 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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