93247

Heart rhythm analysis and report of continous external ekg over 8-15 days

Medicare pricing data for 431 providers across 23 states

🤖AI Overview

Prices vary significantly by location — from $54 in Nebraska to $303 in Texas. 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 8-15 days (HCPCS code 93247) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $284.98, but hospitals typically charge $1,193 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$57.00

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $284.98, your out-of-pocket cost would be approximately $57.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$284.98
Average Hospital Charge
$1,193
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,192.67
Medicare Allowed$284.98
Medicare Payment$219.86

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $219.86 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Texas$303$4444324,309+6.3%
California$286$1,00854264,564+0.4%
New Jersey$283$1,0972220,506-0.5%
Maryland$273$2,63011418-4.2%
Pennsylvania$269$3,7793316,141-5.7%
New York$267$4441630-6.3%
Delaware$264$1,001215-7.3%
Rhode Island$251$4371022-12.0%
Virginia$248$583952-13.0%
Illinois$248$3,7735110,425-13.1%
Georgia$239$1,0599119-16.3%
Michigan$233$4261524-18.4%
Arizona$232$5321653-18.7%
Ohio$219$3901459-23.3%
North Carolina$218$3431630-23.6%
Oklahoma$215$4331014-24.6%
Louisiana$215$3191152-24.6%
Tennessee$215$1,952787-24.7%
Arkansas$204$415127-28.3%
Kentucky$204$473419-28.5%
Florida$204$1,25416101-28.6%
Indiana$194$3731725-32.0%
Nebraska$54$55141-81.0%

⚠️ 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