93246

Heart rhythm recording of continous external ekg over 8-15 days

Medicare pricing data for 11,668 providers across 51 states

🤖AI Overview

This procedure has a 6.1x markup — hospitals charge $75.29 but Medicare allows only $12.28. Uninsured patients may face bills 6.1 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 of continous external ekg over 8-15 days (HCPCS code 93246) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $12.28, but hospitals typically charge $75.29 — a 6.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $12.28, your out-of-pocket cost would be approximately $2.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$12.28
Average Hospital Charge
$75.29
Markup Ratio
6.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$75.29
Medicare Allowed$12.28
Medicare Payment$9.48

Hospitals charge 6.1x more than what Medicare allows for this procedure. Medicare actually pays $9.48 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$14$811,37032,116+15.1%
New York$14$747276,399+14.3%
New Jersey$14$633554,531+11.2%
District of Columbia$14$6825428+11.2%
Massachusetts$13$692643,116+9.4%
Alaska$13$14360720+6.6%
Connecticut$13$82141886+6.6%
Washington$13$563743,651+5.4%
Hawaii$13$8826525+4.5%
Maryland$13$443265,944+4.5%
New Hampshire$13$18697496+2.1%
Colorado$12$471891,741+0.2%
Wyoming$12$38729-1.3%
Delaware$12$6015275-1.8%
Virginia$12$793594,137-2.3%
Minnesota$12$642621,337-2.4%
Nevada$12$6554449-2.6%
Montana$12$6043393-4.4%
Oregon$12$481882,005-4.6%
North Dakota$12$7169140-4.9%
Florida$11$596217,224-6.4%
South Dakota$11$6336260-6.8%
Texas$11$10782812,832-6.9%
Wisconsin$11$140130720-6.9%
Illinois$11$1282835,729-7.1%
Rhode Island$11$352265-7.1%
Michigan$11$452761,835-7.2%
Vermont$11$491071-7.3%
Utah$11$6440160-8.2%
Arizona$11$392071,483-8.9%
Maine$11$322173-9.6%
North Carolina$11$708937,066-10.3%
Pennsylvania$11$1117778,632-10.6%
Ohio$11$362882,064-10.9%
Missouri$11$45181967-11.3%
New Mexico$11$3832103-11.7%
South Carolina$11$431892,141-12.1%
Indiana$11$482482,258-12.4%
Georgia$11$672261,520-12.5%
Oklahoma$11$43861,191-13.4%
Kentucky$11$351752,023-14.3%
Iowa$11$16645216-14.3%
Tennessee$10$414193,540-14.8%
Louisiana$10$44138896-15.0%
Kansas$10$531041,077-15.2%
West Virginia$10$13232210-15.5%
Nebraska$10$3966614-15.6%
Idaho$10$7742256-15.9%
Alabama$10$351721,768-16.5%
Arkansas$10$4170829-17.4%
Mississippi$10$10456959-19.5%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber