93245

Heart rhythm recording, analysis, interpretation and report of continous external ekg over more than 1 week up to 1 weeks

Medicare pricing data for 1,032 providers across 37 states

🤖AI Overview

Prices vary significantly by location — from $142 in Hawaii to $319 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, interpretation and report of continous external ekg over more than 1 week up to 1 weeks (HCPCS code 93245) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $290.05, but hospitals typically charge $879.70 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$58.01

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $290.05, your out-of-pocket cost would be approximately $58.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$290.05
Average Hospital Charge
$879.70
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$879.70
Medicare Allowed$290.05
Medicare Payment$226.39

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $226.39 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$319$1,06229769+10.1%
New York$315$95571220+8.6%
Massachusetts$312$1,58711121+7.4%
California$312$1,6691471,132+7.4%
New Jersey$305$440381,375+5.1%
Virginia$304$83827168+4.7%
Connecticut$301$562511+3.7%
Maryland$299$1,008692,231+3.1%
Michigan$296$7501462+1.9%
Indiana$295$950966+1.7%
Oregon$294$9161736+1.3%
Wyoming$292$1,125144+0.8%
Washington$278$34835272-4.1%
Arizona$264$5103195-9.0%
Texas$262$724122722-9.5%
Pennsylvania$262$59944132-9.8%
Minnesota$260$3551221-10.2%
Missouri$260$856924-10.4%
South Carolina$253$685598-12.7%
Florida$251$44780511-13.6%
Illinois$249$7212750-14.2%
Nebraska$248$348831-14.3%
Ohio$246$5291321-15.1%
Tennessee$245$4321154-15.7%
Oklahoma$242$6631847-16.6%
Utah$240$619316-17.3%
Georgia$239$7142251-17.7%
Mississippi$234$474914-19.5%
Kansas$231$6511767-20.2%
West Virginia$227$804411-21.9%
Alabama$214$2842343-26.3%
North Carolina$213$5442031-26.4%
Louisiana$211$4242487-27.1%
Kentucky$196$638924-32.5%
Colorado$190$279619-34.5%
North Dakota$184$185821-36.6%
Hawaii$142$197628-51.2%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber