93248

Heart rhythm review and interpretation of continous external ekg over 8-15 days

Medicare pricing data for 17,381 providers across 51 states

🤖AI Overview

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 review and interpretation of continous external ekg over 8-15 days (HCPCS code 93248) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $25.70, but hospitals typically charge $99.48 — a 3.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $25.70, your out-of-pocket cost would be approximately $5.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$25.70
Average Hospital Charge
$99.48
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$99.48
Medicare Allowed$25.70
Medicare Payment$19.87

Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $19.87 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$33$267791,094+28.8%
New York$28$1111,01411,203+8.5%
California$28$1271,70650,857+7.4%
District of Columbia$27$8847543+6.8%
Massachusetts$27$10150914,986+4.7%
Connecticut$27$1372291,622+3.9%
New Jersey$26$894806,431+2.6%
Illinois$26$10967013,685+2.0%
Washington$26$7744810,791+1.3%
Maryland$26$764319,312+1.2%
Hawaii$26$87491,285+0.4%
Rhode Island$26$7344862+0.4%
New Hampshire$26$2701444,779-0.2%
Delaware$26$80431,150-0.4%
Montana$25$72792,171-1.1%
Nevada$25$701051,957-1.2%
Colorado$25$763907,586-1.3%
Michigan$25$1085868,208-1.5%
Oregon$25$974149,209-1.6%
Florida$25$8379511,867-1.8%
Maine$25$721111,344-1.9%
Utah$25$7763529-2.1%
Virginia$25$7168312,525-2.1%
Minnesota$25$1022665,570-2.3%
North Dakota$25$118511,798-2.3%
Wyoming$25$11010225-2.6%
Vermont$25$123301,184-2.9%
South Dakota$25$40752,377-3.0%
Missouri$25$812983,813-3.7%
New Mexico$25$62811,445-3.8%
Ohio$25$1205077,589-3.8%
Wisconsin$25$2763032,381-3.9%
Arizona$25$802141,829-4.0%
Georgia$25$1003813,175-4.1%
Pennsylvania$25$671,02012,888-4.2%
North Carolina$25$9593512,758-4.4%
West Virginia$24$881021,559-4.7%
Kentucky$24$623085,149-4.7%
Kansas$24$702053,472-4.8%
Iowa$24$931361,844-5.1%
Nebraska$24$681281,611-5.1%
Oklahoma$24$682152,693-5.1%
South Carolina$24$822373,384-5.1%
Indiana$24$733794,799-5.4%
Idaho$24$771163,644-5.6%
Mississippi$24$781271,990-6.1%
Tennessee$24$665126,906-6.1%
Arkansas$24$621732,028-6.5%
Texas$24$991,03113,147-7.3%
Alabama$24$722062,377-7.7%
Louisiana$23$752131,790-8.8%

⚠️ 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