93226

Electrocardiogram (ecg) 2-day continuous with report

Medicare pricing data for 786 providers across 31 states

🤖AI Overview

This procedure has a 12.6x markup — hospitals charge $490.43 but Medicare allows only $38.89. Uninsured patients may face bills 12.6 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 with report (HCPCS code 93226) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $38.89, but hospitals typically charge $490.43 — a 12.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.78

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $38.89, your out-of-pocket cost would be approximately $7.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$38.89
Average Hospital Charge
$490.43
Markup Ratio
12.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$490.43
Medicare Allowed$38.89
Medicare Payment$28.99

Hospitals charge 12.6x more than what Medicare allows for this procedure. Medicare actually pays $28.99 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$43$1,23453,112+11.8%
New Jersey$42$359163,735+7.8%
New York$41$1,103441,203+6.6%
California$41$5076020,760+6.3%
Washington$41$1163494+5.6%
Pennsylvania$40$5923616,235+3.4%
Connecticut$40$159411+3.3%
Florida$39$218431,925+1.2%
Massachusetts$39$19948220+1.0%
Illinois$37$5942917,649-3.8%
Texas$37$3004222,846-5.9%
Georgia$36$2496832-7.7%
Puerto Rico$36$63647-8.0%
North Dakota$36$133843-8.1%
Minnesota$36$4532986-8.2%
Michigan$35$89836-9.3%
South Dakota$35$3621656-10.3%
Arizona$35$86743-10.6%
Wisconsin$34$71063177-12.9%
Indiana$33$21640219-15.4%
Ohio$33$131251,406-15.4%
Missouri$33$1924172-15.7%
Nebraska$33$105559-15.9%
North Carolina$32$1262028-16.7%
Kansas$32$18716486-17.1%
Iowa$32$1111590-17.4%
Louisiana$32$19811291-18.3%
Tennessee$31$8969185-20.0%
South Carolina$31$210799-20.6%
Mississippi$30$204727-21.9%
Idaho$30$333151-22.0%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber