93271

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and transmission and analysis

Medicare pricing data for 293 providers across 22 states

🤖AI Overview

This procedure has a 11.3x markup — hospitals charge $2,132 but Medicare allows only $189.01. Uninsured patients may face bills 11.3 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

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and transmission and analysis (HCPCS code 93271) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $189.01, but hospitals typically charge $2,132 — a 11.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$37.80

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $189.01, your out-of-pocket cost would be approximately $37.80. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$189.01
Average Hospital Charge
$2,132
Markup Ratio
11.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,132.37
Medicare Allowed$189.01
Medicare Payment$142.78

Hospitals charge 11.3x more than what Medicare allows for this procedure. Medicare actually pays $142.78 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$199$2,5357322,684+5.4%
Texas$187$1,471176,253-1.3%
Georgia$176$1,07316306-6.6%
Maryland$176$6,9642258-7.0%
New York$171$4201740-9.7%
New Jersey$162$1,09182,014-14.1%
Massachusetts$155$98510503-18.1%
Minnesota$151$1,9551310-20.1%
Michigan$144$299616-23.6%
Illinois$143$1,10422211-24.1%
Pennsylvania$142$1,3545331-24.8%
Wisconsin$140$2,5251118-26.0%
Florida$137$1,40612625-27.4%
South Carolina$134$3691113-29.2%
Ohio$133$2526858-29.6%
Tennessee$132$392316-30.0%
Kansas$132$307227-30.1%
Missouri$131$4651219-30.6%
Oregon$131$6941321-30.8%
Arkansas$121$2831153-35.8%
Washington$113$715911-40.3%
Louisiana$112$4621013-41.0%

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