Electrocardiogram (ecg) 1 to 3 leads with review by physician only
Medicare pricing data for 7,842 providers across 51 states
This procedure has a 7.2x markup — hospitals charge $49.73 but Medicare allows only $6.88. Uninsured patients may face bills 7.2 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 with review by physician only (HCPCS code 93042) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.88, but hospitals typically charge $49.73 — a 7.2x 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 $6.88, your out-of-pocket cost would be approximately $1.38. 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 7.2x more than what Medicare allows for this procedure. Medicare actually pays $5.39 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $9 | $147 | 57 | 1,629 | +32.6% |
| New York | $7 | $33 | 364 | 15,064 | +7.6% |
| District of Columbia | $7 | $32 | 63 | 1,210 | +6.2% |
| Connecticut | $7 | $42 | 34 | 1,260 | +5.2% |
| California | $7 | $53 | 903 | 30,108 | +2.9% |
| Maryland | $7 | $43 | 299 | 8,984 | +1.9% |
| New Jersey | $7 | $57 | 552 | 38,746 | +1.7% |
| Illinois | $7 | $51 | 500 | 27,687 | +0.9% |
| Florida | $7 | $49 | 569 | 13,848 | +0.6% |
| Louisiana | $7 | $48 | 40 | 994 | +0.1% |
| South Carolina | $7 | $58 | 33 | 868 | 0.0% |
| Delaware | $7 | $39 | 69 | 2,569 | -0.1% |
| Pennsylvania | $7 | $39 | 400 | 19,476 | -0.4% |
| Puerto Rico | $7 | $37 | 7 | 104 | -0.4% |
| New Mexico | $7 | $61 | 17 | 460 | -1.0% |
| Rhode Island | $7 | $36 | 61 | 1,318 | -1.3% |
| Ohio | $7 | $49 | 252 | 4,095 | -1.5% |
| Washington | $7 | $71 | 317 | 12,624 | -1.5% |
| Massachusetts | $7 | $36 | 207 | 9,416 | -1.6% |
| Michigan | $7 | $43 | 411 | 10,770 | -1.7% |
| Georgia | $7 | $69 | 157 | 2,362 | -2.9% |
| Hawaii | $7 | $77 | 22 | 393 | -2.9% |
| Virginia | $7 | $34 | 221 | 3,947 | -3.2% |
| Oregon | $7 | $46 | 99 | 1,124 | -3.3% |
| Missouri | $7 | $58 | 102 | 2,409 | -3.8% |
| Texas | $7 | $39 | 537 | 9,140 | -3.8% |
| Wisconsin | $7 | $56 | 56 | 831 | -3.9% |
| Arkansas | $7 | $58 | 7 | 57 | -3.9% |
| Colorado | $7 | $46 | 119 | 2,834 | -3.9% |
| West Virginia | $7 | $62 | 14 | 312 | -4.1% |
| Nevada | $7 | $109 | 117 | 786 | -4.2% |
| North Dakota | $7 | $56 | 17 | 113 | -4.5% |
| Kansas | $7 | $50 | 17 | 90 | -4.9% |
| Utah | $7 | $48 | 157 | 6,231 | -4.9% |
| Wyoming | $7 | $40 | 12 | 216 | -5.1% |
| Indiana | $7 | $52 | 143 | 2,689 | -5.4% |
| Oklahoma | $7 | $62 | 59 | 1,460 | -5.5% |
| Kentucky | $6 | $59 | 34 | 420 | -5.8% |
| Montana | $6 | $57 | 4 | 39 | -5.8% |
| North Carolina | $6 | $50 | 133 | 2,220 | -5.8% |
| Idaho | $6 | $65 | 15 | 552 | -6.5% |
| Arizona | $6 | $68 | 180 | 1,698 | -6.5% |
| South Dakota | $6 | $55 | 2 | 18 | -7.1% |
| Tennessee | $6 | $53 | 131 | 2,729 | -7.3% |
| Minnesota | $6 | $50 | 40 | 1,541 | -8.0% |
| Alabama | $6 | $20 | 81 | 4,197 | -10.2% |
| Mississippi | $6 | $67 | 77 | 1,621 | -10.3% |
| Iowa | $6 | $51 | 39 | 318 | -10.6% |
| New Hampshire | $6 | $29 | 3 | 30 | -11.0% |
| Maine | $6 | $46 | 5 | 104 | -11.8% |
| Nebraska | $6 | $61 | 34 | 2,491 | -12.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber