93041

Electrocardiogram (ecg) 1 to 3 leads

Medicare pricing data for 332 providers across 18 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $33.14 but Medicare allows only $6.07. Uninsured patients may face bills 5.5 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

Electrocardiogram (ecg) 1 to 3 leads (HCPCS code 93041) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.07, but hospitals typically charge $33.14 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.21

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.07, your out-of-pocket cost would be approximately $1.21. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.07
Average Hospital Charge
$33.14
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$33.14
Medicare Allowed$6.07
Medicare Payment$4.61

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $4.61 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$7$34411,189+15.8%
New Jersey$7$7311424+15.3%
New York$7$70361,059+12.4%
Washington$6$17520+6.8%
Illinois$6$367191+6.1%
Pennsylvania$6$14102,208+1.8%
Colorado$6$34954+1.5%
Michigan$6$19723+0.3%
Florida$6$16162,655-4.1%
Texas$6$16541,168-5.9%
New Mexico$6$49514-9.1%
North Carolina$5$163061-9.6%
Arizona$5$13613-10.7%
South Carolina$5$985102-11.5%
Alabama$5$167495-13.8%
Indiana$5$8815241-15.5%
Mississippi$5$1007641-17.6%
Tennessee$5$171387-19.1%

⚠️ 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