Heart rhythm recording continous external ekg over more than 48 hours up to 7 days
Medicare pricing data for 11,659 providers across 50 states
This procedure has a 6.5x markup — hospitals charge $76.33 but Medicare allows only $11.76. Uninsured patients may face bills 6.5 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
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days (HCPCS code 93242) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.76, but hospitals typically charge $76.33 — a 6.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.76, your out-of-pocket cost would be approximately $2.35. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.5x more than what Medicare allows for this procedure. Medicare actually pays $9.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $14 | $56 | 21 | 303 | +21.3% |
| New York | $14 | $73 | 817 | 9,433 | +18.3% |
| California | $14 | $95 | 993 | 16,189 | +17.1% |
| New Jersey | $14 | $64 | 420 | 5,867 | +16.3% |
| Hawaii | $13 | $68 | 13 | 208 | +12.0% |
| Massachusetts | $13 | $65 | 208 | 1,808 | +11.9% |
| Connecticut | $13 | $94 | 163 | 1,293 | +11.7% |
| Alaska | $13 | $135 | 43 | 504 | +10.1% |
| Maryland | $13 | $46 | 308 | 4,523 | +8.7% |
| Washington | $13 | $53 | 234 | 2,332 | +7.7% |
| Virginia | $13 | $55 | 280 | 2,280 | +6.4% |
| New Hampshire | $12 | $145 | 79 | 306 | +5.9% |
| Rhode Island | $12 | $41 | 14 | 96 | +4.6% |
| Colorado | $12 | $48 | 163 | 1,182 | +3.6% |
| Delaware | $12 | $51 | 19 | 362 | +2.9% |
| Minnesota | $12 | $57 | 216 | 1,129 | +2.0% |
| North Dakota | $12 | $48 | 30 | 85 | +1.4% |
| Montana | $12 | $41 | 50 | 238 | +0.4% |
| Nevada | $12 | $46 | 50 | 542 | +0.2% |
| Oregon | $12 | $53 | 116 | 1,023 | -1.1% |
| South Dakota | $12 | $125 | 30 | 102 | -2.1% |
| Florida | $11 | $39 | 800 | 12,990 | -2.8% |
| Michigan | $11 | $42 | 306 | 2,573 | -3.2% |
| Wisconsin | $11 | $113 | 168 | 760 | -3.2% |
| Vermont | $11 | $52 | 6 | 31 | -3.3% |
| Maine | $11 | $38 | 22 | 70 | -3.8% |
| Utah | $11 | $47 | 50 | 518 | -5.1% |
| Arizona | $11 | $34 | 240 | 4,088 | -5.3% |
| Illinois | $11 | $137 | 270 | 7,197 | -6.2% |
| North Carolina | $11 | $73 | 782 | 6,144 | -6.6% |
| Ohio | $11 | $37 | 327 | 2,382 | -6.6% |
| Pennsylvania | $11 | $132 | 763 | 10,912 | -6.6% |
| Indiana | $11 | $81 | 236 | 1,751 | -7.9% |
| New Mexico | $11 | $39 | 27 | 208 | -8.0% |
| South Carolina | $11 | $39 | 249 | 2,582 | -8.2% |
| Missouri | $11 | $58 | 187 | 1,604 | -8.5% |
| Georgia | $11 | $68 | 317 | 2,262 | -8.9% |
| Nebraska | $11 | $51 | 86 | 665 | -8.9% |
| Texas | $11 | $116 | 876 | 15,862 | -9.3% |
| Iowa | $11 | $85 | 100 | 800 | -10.1% |
| Oklahoma | $11 | $31 | 75 | 493 | -10.1% |
| Kentucky | $11 | $41 | 203 | 1,654 | -10.5% |
| Kansas | $10 | $42 | 115 | 894 | -11.0% |
| Tennessee | $10 | $38 | 520 | 4,773 | -11.3% |
| Louisiana | $10 | $50 | 169 | 3,120 | -12.0% |
| West Virginia | $10 | $82 | 35 | 557 | -12.6% |
| Alabama | $10 | $33 | 233 | 2,303 | -12.8% |
| Idaho | $10 | $60 | 38 | 142 | -13.9% |
| Arkansas | $10 | $39 | 128 | 2,149 | -14.6% |
| Mississippi | $10 | $71 | 54 | 570 | -16.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber