93228

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional

Medicare pricing data for 16,474 providers across 52 states

🤖AI Overview

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) up to 30 days continuous with review and report by health care professional (HCPCS code 93228) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $25.09, but hospitals typically charge $96.25 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.02

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $25.09, your out-of-pocket cost would be approximately $5.02. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$25.09
Average Hospital Charge
$96.25
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$96.25
Medicare Allowed$25.09
Medicare Payment$19.56

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $19.56 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$33$23334596+31.4%
New York$28$1761,38323,301+12.0%
District of Columbia$27$12024229+7.1%
New Jersey$27$915008,964+6.0%
California$27$971,11730,979+5.8%
Connecticut$26$1272883,737+5.4%
Massachusetts$26$1044688,693+5.1%
Maryland$26$872443,297+3.1%
Illinois$26$10756011,646+2.8%
Pennsylvania$25$817109,099+1.2%
Florida$25$701,37928,181+1.1%
Montana$25$7152714+0.3%
Nevada$25$731324,703-0.0%
Rhode Island$25$8730381-0.1%
New Hampshire$25$9741410-0.2%
Michigan$25$644977,422-0.4%
Oregon$25$13899706-0.4%
Delaware$25$68631,382-0.4%
Washington$25$732553,917-0.6%
Puerto Rico$25$45630-1.0%
Colorado$25$771971,900-1.6%
Virginia$25$906119,503-2.0%
Arizona$25$7051112,994-2.1%
Wyoming$25$34816315-2.2%
Vermont$25$10511404-2.3%
Minnesota$25$1202044,187-2.3%
North Dakota$24$192746-2.8%
Utah$24$871232,506-2.8%
Maine$24$9697971-2.8%
Missouri$24$963504,912-2.8%
Ohio$24$6756310,514-3.3%
South Dakota$24$6821207-3.4%
West Virginia$24$711121,351-3.7%
Texas$24$851,20618,804-3.8%
North Carolina$24$857118,290-4.0%
Kentucky$24$602443,587-4.7%
Wisconsin$24$2973013,946-4.7%
Georgia$24$11061710,902-4.8%
Indiana$24$1423735,743-5.6%
Oklahoma$24$652203,561-5.6%
Nebraska$24$7963376-5.7%
Alabama$24$612675,543-5.9%
Iowa$24$781181,401-5.9%
Kansas$24$721602,153-6.2%
Idaho$23$6779712-6.4%
South Carolina$23$823789,201-7.1%
Hawaii$23$74949-8.3%
Louisiana$23$862152,988-8.6%
Mississippi$23$821184,342-8.6%
Arkansas$23$561964,068-8.7%
New Mexico$23$8437493-9.0%
Tennessee$23$764487,245-10.3%

⚠️ 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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