93291

Evaluation of cardiac rhythm monitor system

Medicare pricing data for 5,895 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $16 in Vermont to $54 in New Jersey. 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

Evaluation of cardiac rhythm monitor system (HCPCS code 93291) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $42.38, but hospitals typically charge $147.85 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.48

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $42.38, your out-of-pocket cost would be approximately $8.48. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$42.38
Average Hospital Charge
$147.85
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$147.85
Medicare Allowed$42.38
Medicare Payment$32.09

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $32.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$54$1441803,317+26.8%
New York$52$3784298,326+22.1%
California$50$1185095,166+17.9%
Puerto Rico$49$50959+16.8%
Hawaii$49$1051133+16.5%
Wyoming$47$623942+11.0%
Oregon$47$20635113+10.4%
Nebraska$46$11127398+8.1%
Nevada$46$12562442+7.5%
Maryland$44$9890674+4.7%
Florida$44$1036169,290+4.4%
Montana$44$97959+4.2%
District of Columbia$44$1231082+3.9%
Connecticut$43$12372445+1.4%
South Carolina$43$1021691,583+0.7%
Illinois$41$1411671,516-2.1%
Kansas$41$98861,008-2.9%
Pennsylvania$41$992331,400-4.3%
Delaware$40$7828144-5.8%
Georgia$40$1131571,525-6.1%
Washington$39$9288436-8.0%
Mississippi$39$9961622-8.2%
Indiana$38$93102888-10.6%
Colorado$38$10089584-10.7%
Minnesota$38$15473213-10.8%
Arizona$38$771831,325-11.0%
Massachusetts$38$114122605-11.1%
Utah$37$7544244-11.9%
Michigan$37$82168982-12.1%
Texas$37$1094694,819-12.4%
Arkansas$36$7078708-14.3%
North Carolina$36$1211301,390-15.2%
Virginia$35$84146832-18.0%
Alabama$35$9580316-18.1%
Louisiana$34$11999438-19.7%
Missouri$33$96111845-22.0%
Tennessee$33$851761,079-22.7%
Kentucky$32$74111691-25.2%
Wisconsin$30$277120751-29.5%
West Virginia$29$7352708-32.6%
Ohio$28$831921,600-33.4%
Rhode Island$28$661851-33.6%
Oklahoma$28$6981510-33.8%
South Dakota$27$5913152-36.3%
Iowa$27$10152171-36.6%
Idaho$27$7324107-37.4%
New Hampshire$20$1173290-51.7%
Maine$19$932252-55.5%
North Dakota$18$58661-58.2%
New Mexico$17$88882-59.3%
Vermont$16$84880-61.6%

⚠️ 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