93225

Electrocardiogram (ecg) 2-day continuous

Medicare pricing data for 6,378 providers across 52 states

🤖AI Overview

This procedure has a 6.6x markup — hospitals charge $113.02 but Medicare allows only $17.24. Uninsured patients may face bills 6.6 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) 2-day continuous (HCPCS code 93225) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.24, but hospitals typically charge $113.02 — a 6.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.45

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.24, your out-of-pocket cost would be approximately $3.45. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$17.24
Average Hospital Charge
$113.02
Markup Ratio
6.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$113.02
Medicare Allowed$17.24
Medicare Payment$12.82

Hospitals charge 6.6x more than what Medicare allows for this procedure. Medicare actually pays $12.82 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$21$964184,948+19.8%
Connecticut$20$98110971+16.4%
Hawaii$20$127721+15.5%
Washington$20$971631,067+13.6%
District of Columbia$19$138889+12.6%
Massachusetts$19$1081581,993+12.6%
New Jersey$19$1072001,625+12.4%
Maryland$19$92114620+9.9%
New Hampshire$19$304932+9.3%
Rhode Island$19$8813185+7.6%
Alaska$18$365647+7.2%
New York$18$1553754,369+7.1%
Montana$18$471864+6.6%
Minnesota$18$952741,088+5.3%
Virginia$18$1011721,412+4.4%
Colorado$18$10172288+4.2%
Wyoming$18$99635+3.5%
Nevada$18$1011676+3.4%
Maine$18$107876+2.8%
Vermont$18$931566+1.8%
Delaware$18$449109+1.7%
North Dakota$17$10144118+0.6%
Florida$17$704945,599+0.4%
Oregon$17$812168+0.3%
Arizona$17$651271,204-0.6%
Michigan$17$66145989-1.4%
Utah$17$7637132-1.6%
Pennsylvania$17$1522082,333-2.2%
Wisconsin$17$339208940-3.1%
Illinois$16$1821362,171-4.5%
North Carolina$16$1573261,842-4.9%
South Dakota$16$17336146-4.9%
Iowa$16$150104594-5.1%
Puerto Rico$16$62851-5.3%
Georgia$16$1172942,923-5.6%
Ohio$16$723252,529-5.6%
Nebraska$16$6341267-6.7%
New Mexico$16$1421564-7.0%
Oklahoma$16$7835248-7.2%
Missouri$16$74112834-7.3%
South Carolina$16$1081501,496-7.5%
Indiana$16$1462241,433-9.2%
Texas$15$1253803,055-11.8%
Alabama$15$75821,502-12.2%
Tennessee$15$802731,487-12.4%
Arkansas$15$9383901-13.0%
Louisiana$15$9262704-13.6%
West Virginia$14$25737146-16.2%
Kentucky$14$70109932-16.5%
Mississippi$14$10926107-16.5%
Idaho$14$1401097-17.7%
Kansas$14$19153752-18.1%

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

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