Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and review and report by health care professional
Medicare pricing data for 1,913 providers across 39 states
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
Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and review and report by health care professional (HCPCS code 93268) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $174.04, but hospitals typically charge $626.29 — a 3.6x 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 $174.04, your out-of-pocket cost would be approximately $34.81. 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 3.6x more than what Medicare allows for this procedure. Medicare actually pays $134.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $201 | $363 | 3 | 47 | +15.5% |
| California | $198 | $587 | 285 | 1,097 | +14.0% |
| New Jersey | $197 | $699 | 88 | 342 | +13.1% |
| Connecticut | $189 | $768 | 74 | 397 | +8.8% |
| New York | $189 | $681 | 111 | 389 | +8.5% |
| Maryland | $187 | $323 | 19 | 206 | +7.5% |
| Massachusetts | $187 | $710 | 36 | 111 | +7.2% |
| Washington | $181 | $637 | 66 | 256 | +3.8% |
| Delaware | $176 | $568 | 21 | 208 | +1.1% |
| Michigan | $176 | $558 | 26 | 99 | +0.9% |
| Minnesota | $174 | $1,253 | 14 | 26 | +0.2% |
| Rhode Island | $174 | $542 | 15 | 174 | -0.1% |
| Florida | $173 | $652 | 194 | 828 | -0.8% |
| Nevada | $171 | $466 | 52 | 226 | -1.7% |
| Virginia | $170 | $546 | 60 | 188 | -2.1% |
| Maine | $170 | $3,055 | 1 | 65 | -2.3% |
| Arizona | $169 | $443 | 126 | 1,127 | -2.7% |
| Utah | $168 | $641 | 11 | 45 | -3.7% |
| Iowa | $167 | $601 | 9 | 36 | -3.8% |
| Texas | $167 | $585 | 122 | 374 | -4.0% |
| Pennsylvania | $167 | $633 | 97 | 439 | -4.1% |
| Wisconsin | $167 | $2,262 | 33 | 141 | -4.1% |
| Missouri | $167 | $606 | 13 | 30 | -4.2% |
| North Carolina | $166 | $596 | 14 | 39 | -4.7% |
| Illinois | $165 | $755 | 74 | 282 | -5.2% |
| Kansas | $160 | $451 | 32 | 804 | -8.1% |
| Oregon | $160 | $633 | 12 | 33 | -8.3% |
| Ohio | $159 | $479 | 27 | 65 | -8.4% |
| Georgia | $158 | $884 | 69 | 232 | -9.4% |
| South Carolina | $156 | $511 | 30 | 168 | -10.3% |
| Tennessee | $156 | $436 | 18 | 82 | -10.5% |
| Indiana | $155 | $398 | 10 | 21 | -10.9% |
| Colorado | $152 | $449 | 8 | 11 | -12.8% |
| Oklahoma | $151 | $519 | 10 | 96 | -13.4% |
| Louisiana | $150 | $724 | 55 | 163 | -14.1% |
| Alabama | $147 | $376 | 27 | 105 | -15.5% |
| Mississippi | $144 | $641 | 13 | 96 | -17.1% |
| Kentucky | $139 | $521 | 12 | 18 | -20.0% |
| Arkansas | $124 | $626 | 8 | 12 | -29.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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