93272

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional

Medicare pricing data for 9,835 providers across 52 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

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional (HCPCS code 93272) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $23.34, but hospitals typically charge $104.35 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.67

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $23.34, your out-of-pocket cost would be approximately $4.67. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$23.34
Average Hospital Charge
$104.35
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$104.35
Medicare Allowed$23.34
Medicare Payment$17.80

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $17.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$32$2191635+38.9%
California$25$964163,407+7.7%
Connecticut$25$941561,170+6.7%
Hawaii$25$66943+5.6%
New Jersey$25$1082531,135+5.5%
New York$25$985573,159+5.1%
Massachusetts$24$1512283,036+4.7%
Maryland$24$82112741+4.6%
Rhode Island$24$7366420+3.1%
Illinois$24$1685126,729+2.6%
Washington$24$691661,049+2.6%
Montana$24$6638440+2.5%
New Hampshire$24$8931261+1.8%
Nevada$24$6810174+1.7%
Wyoming$24$13412241+1.4%
Puerto Rico$24$24611+1.4%
Virginia$24$723762,480+1.0%
South Dakota$24$12624680+0.9%
Minnesota$24$157117784+0.7%
Oregon$23$74110477+0.6%
Colorado$23$871941,565+0.6%
Vermont$23$11414110+0.1%
Florida$23$676194,656+0.0%
North Dakota$23$11320246+0.0%
New Mexico$23$7151499-0.2%
Pennsylvania$23$933542,193-0.2%
Michigan$23$694162,609-0.3%
Arizona$23$751821,468-0.7%
Delaware$23$1582491-0.8%
Missouri$23$903475,680-0.8%
Georgia$23$1324673,105-0.8%
Ohio$23$865025,171-1.1%
Maine$23$8540317-1.2%
Idaho$23$6624108-1.4%
Oklahoma$23$65981,020-1.5%
North Carolina$23$1163142,518-1.8%
Kentucky$23$682121,380-2.1%
Utah$23$8157218-2.1%
Indiana$23$1083083,223-2.2%
South Carolina$23$1072762,873-2.6%
Nebraska$23$7259252-2.8%
Iowa$23$1311521,220-2.9%
Wisconsin$23$3292951,719-2.9%
Kansas$23$83137900-3.5%
Louisiana$23$85100698-3.5%
Arkansas$22$691481,841-4.8%
Texas$22$885133,198-5.0%
Alabama$22$551841,623-5.1%
Mississippi$22$90103723-5.9%
Tennessee$22$833081,576-6.1%
District of Columbia$22$93819-7.1%
West Virginia$22$8376366-7.3%

⚠️ 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