93227

Electrocardiogram (ecg) 2-day continuous with review by health care professional

Medicare pricing data for 15,176 providers across 52 states

🤖AI Overview

This procedure has a 6.3x markup — hospitals charge $113.06 but Medicare allows only $17.98. Uninsured patients may face bills 6.3 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 review by health care professional (HCPCS code 93227) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.98, but hospitals typically charge $113.06 — a 6.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.60

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $17.98, your out-of-pocket cost would be approximately $3.60. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$17.98
Average Hospital Charge
$113.06
Markup Ratio
6.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$113.06
Medicare Allowed$17.98
Medicare Payment$13.36

Hospitals charge 6.3x more than what Medicare allows for this procedure. Medicare actually pays $13.36 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$24$26832295+32.1%
New Jersey$19$964944,428+6.3%
California$19$11480110,127+6.2%
Connecticut$19$1302703,355+6.1%
New York$19$10084610,866+4.6%
Massachusetts$19$904706,154+4.4%
Washington$19$642642,920+3.8%
District of Columbia$19$10919127+3.7%
Maryland$18$901821,114+2.8%
Hawaii$18$7530155+2.2%
Rhode Island$18$7078816+1.5%
Montana$18$6851719+1.2%
Colorado$18$682571,708+1.2%
Illinois$18$14171910,063+1.0%
New Hampshire$18$1871061,439+0.9%
Delaware$18$21051705+0.7%
Oregon$18$691491,647+0.6%
Minnesota$18$1592836,236+0.4%
Wyoming$18$20623415+0.4%
North Dakota$18$14339675+0.3%
Puerto Rico$18$3554285+0.3%
Florida$18$7888911,882+0.1%
South Dakota$18$118782,768+0.1%
Virginia$18$814905,480-0.3%
Michigan$18$866116,930-0.6%
Nevada$18$7238135-0.6%
Maine$18$911221,275-0.8%
Pennsylvania$18$12487012,099-1.0%
Vermont$18$97331,279-1.1%
Arizona$18$1251652,081-1.3%
Georgia$18$1155834,817-1.4%
Wisconsin$18$3694485,416-1.6%
Missouri$18$1253965,088-2.1%
Utah$18$13199665-2.2%
Ohio$18$907059,249-2.3%
Oklahoma$18$861822,848-2.3%
Texas$18$1097266,547-2.4%
North Carolina$18$1254722,859-2.4%
New Mexico$18$10458330-2.5%
South Carolina$18$1132412,214-2.5%
Idaho$17$7348329-2.8%
Indiana$17$1075195,979-2.8%
Kentucky$17$743614,647-3.0%
Louisiana$17$1022502,469-3.0%
Nebraska$17$801633,436-3.1%
Iowa$17$1242355,101-3.3%
Alabama$17$981872,469-3.9%
Tennessee$17$874163,616-4.3%
Mississippi$17$10895811-4.3%
Arkansas$17$752042,784-4.7%
West Virginia$17$77108658-4.8%
Kansas$17$961642,272-5.2%

⚠️ 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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