Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days
Medicare pricing data for 280 providers across 18 states
This procedure has a 5.8x markup — hospitals charge $1,526 but Medicare allows only $264.99. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. Prices vary significantly by location — from $23 in Kentucky to $279 in California. Where you get this procedure matters more than almost any other factor. 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 analysis and report of continous external ekg over more than 48 hours up to 7 days (HCPCS code 93243) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $264.99, but hospitals typically charge $1,526 — a 5.8x 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 $264.99, your out-of-pocket cost would be approximately $53.00. 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 5.8x more than what Medicare allows for this procedure. Medicare actually pays $204.28 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $279 | $1,084 | 51 | 115,917 | +5.4% |
| Maryland | $273 | $3,522 | 14 | 1,229 | +2.9% |
| New Jersey | $269 | $909 | 15 | 25,878 | +1.6% |
| Pennsylvania | $256 | $3,499 | 12 | 34,539 | -3.6% |
| Texas | $246 | $423 | 38 | 38,270 | -7.3% |
| Illinois | $236 | $3,497 | 11 | 20,317 | -11.0% |
| Georgia | $227 | $1,059 | 3 | 207 | -14.3% |
| New York | $226 | $755 | 7 | 38 | -14.7% |
| Arizona | $215 | $350 | 2 | 11 | -19.0% |
| Florida | $214 | $2,639 | 16 | 137 | -19.2% |
| Massachusetts | $208 | $436 | 7 | 36 | -21.6% |
| Ohio | $207 | $392 | 15 | 295 | -22.0% |
| Tennessee | $204 | $2,063 | 6 | 298 | -23.1% |
| Delaware | $203 | $359 | 5 | 13 | -23.6% |
| Louisiana | $202 | $266 | 14 | 682 | -23.7% |
| Arkansas | $195 | $422 | 3 | 46 | -26.5% |
| North Carolina | $92 | $114 | 6 | 37 | -65.2% |
| Kentucky | $23 | $35 | 6 | 22 | -91.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber