93241

Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days

Medicare pricing data for 1,944 providers across 37 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

Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS code 93241) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $266.12, but hospitals typically charge $708.85 — a 2.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$53.22

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $266.12, your out-of-pocket cost would be approximately $53.22. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$266.12
Average Hospital Charge
$708.85
Markup Ratio
2.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$708.85
Medicare Allowed$266.12
Medicare Payment$207.19

Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $207.19 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$314$7861872,592+17.8%
District of Columbia$310$85319219+16.3%
New York$301$7551121,067+13.0%
New Jersey$292$8011232,542+9.6%
Washington$290$40232132+8.9%
Maryland$289$7501192,395+8.6%
Massachusetts$283$70127220+6.5%
Connecticut$283$545621+6.3%
Illinois$272$70029469+2.1%
Virginia$268$1,011491,042+0.8%
Delaware$266$5059235-0.0%
Pennsylvania$256$47666664-4.0%
North Carolina$255$52023131-4.2%
Michigan$253$4041867-4.9%
Texas$253$6643616,095-4.9%
Oregon$251$567677-5.7%
Arizona$251$50971739-5.8%
Florida$248$6851781,191-6.7%
Nebraska$242$345617-9.2%
Colorado$239$2,5101235-10.4%
Georgia$238$1,009751,152-10.7%
Ohio$237$5131484-10.8%
New Mexico$235$7894109-11.7%
Alabama$234$58324165-12.2%
Minnesota$233$6032273-12.4%
Nevada$233$74132240-12.5%
Tennessee$233$54838295-12.6%
South Carolina$232$47540392-12.7%
Oklahoma$231$51729195-13.2%
Missouri$231$8641235-13.3%
Indiana$230$3251012-13.7%
Kentucky$227$66210320-14.7%
Arkansas$225$699337-15.4%
Mississippi$221$43415510-16.9%
Louisiana$219$42180810-17.7%
West Virginia$218$94016162-17.9%
Kansas$206$4651990-22.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber