Evaluation of cardiac rhythm monitor system
Medicare pricing data for 5,895 providers across 51 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $54 | $144 | 180 | 3,317 | +26.8% |
| New York | $52 | $378 | 429 | 8,326 | +22.1% |
| California | $50 | $118 | 509 | 5,166 | +17.9% |
| Puerto Rico | $49 | $50 | 9 | 59 | +16.8% |
| Hawaii | $49 | $105 | 11 | 33 | +16.5% |
| Wyoming | $47 | $623 | 9 | 42 | +11.0% |
| Oregon | $47 | $206 | 35 | 113 | +10.4% |
| Nebraska | $46 | $111 | 27 | 398 | +8.1% |
| Nevada | $46 | $125 | 62 | 442 | +7.5% |
| Maryland | $44 | $98 | 90 | 674 | +4.7% |
| Florida | $44 | $103 | 616 | 9,290 | +4.4% |
| Montana | $44 | $97 | 9 | 59 | +4.2% |
| District of Columbia | $44 | $123 | 10 | 82 | +3.9% |
| Connecticut | $43 | $123 | 72 | 445 | +1.4% |
| South Carolina | $43 | $102 | 169 | 1,583 | +0.7% |
| Illinois | $41 | $141 | 167 | 1,516 | -2.1% |
| Kansas | $41 | $98 | 86 | 1,008 | -2.9% |
| Pennsylvania | $41 | $99 | 233 | 1,400 | -4.3% |
| Delaware | $40 | $78 | 28 | 144 | -5.8% |
| Georgia | $40 | $113 | 157 | 1,525 | -6.1% |
| Washington | $39 | $92 | 88 | 436 | -8.0% |
| Mississippi | $39 | $99 | 61 | 622 | -8.2% |
| Indiana | $38 | $93 | 102 | 888 | -10.6% |
| Colorado | $38 | $100 | 89 | 584 | -10.7% |
| Minnesota | $38 | $154 | 73 | 213 | -10.8% |
| Arizona | $38 | $77 | 183 | 1,325 | -11.0% |
| Massachusetts | $38 | $114 | 122 | 605 | -11.1% |
| Utah | $37 | $75 | 44 | 244 | -11.9% |
| Michigan | $37 | $82 | 168 | 982 | -12.1% |
| Texas | $37 | $109 | 469 | 4,819 | -12.4% |
| Arkansas | $36 | $70 | 78 | 708 | -14.3% |
| North Carolina | $36 | $121 | 130 | 1,390 | -15.2% |
| Virginia | $35 | $84 | 146 | 832 | -18.0% |
| Alabama | $35 | $95 | 80 | 316 | -18.1% |
| Louisiana | $34 | $119 | 99 | 438 | -19.7% |
| Missouri | $33 | $96 | 111 | 845 | -22.0% |
| Tennessee | $33 | $85 | 176 | 1,079 | -22.7% |
| Kentucky | $32 | $74 | 111 | 691 | -25.2% |
| Wisconsin | $30 | $277 | 120 | 751 | -29.5% |
| West Virginia | $29 | $73 | 52 | 708 | -32.6% |
| Ohio | $28 | $83 | 192 | 1,600 | -33.4% |
| Rhode Island | $28 | $66 | 18 | 51 | -33.6% |
| Oklahoma | $28 | $69 | 81 | 510 | -33.8% |
| South Dakota | $27 | $59 | 13 | 152 | -36.3% |
| Iowa | $27 | $101 | 52 | 171 | -36.6% |
| Idaho | $27 | $73 | 24 | 107 | -37.4% |
| New Hampshire | $20 | $117 | 32 | 90 | -51.7% |
| Maine | $19 | $93 | 22 | 52 | -55.5% |
| North Dakota | $18 | $58 | 6 | 61 | -58.2% |
| New Mexico | $17 | $88 | 8 | 82 | -59.3% |
| Vermont | $16 | $84 | 8 | 80 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber