93298

Evaluation of cardiac rhythm monitor system, remote up to 30 days

Medicare pricing data for 10,609 providers across 51 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 1.2 million services annually. Even small pricing inefficiencies here affect millions of patients. 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, remote up to 30 days (HCPCS code 93298) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.20, but hospitals typically charge $97.68 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.24

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $26.20, your out-of-pocket cost would be approximately $5.24. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$26.20
Average Hospital Charge
$97.68
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$97.68
Medicare Allowed$26.20
Medicare Payment$19.41

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $19.41 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$30$256151,781+13.9%
New York$29$209772142,024+10.1%
District of Columbia$28$81201,383+6.3%
New Jersey$28$8335459,545+5.8%
Maryland$27$7115521,192+3.4%
California$27$9195796,704+2.9%
Massachusetts$27$10127428,219+2.0%
Illinois$27$10833436,997+1.1%
Florida$26$66993153,753+0.5%
Connecticut$26$9016911,944+0.5%
Washington$26$7419910,264-0.3%
Pennsylvania$26$7846353,232-0.6%
Montana$26$88312,847-1.0%
Virginia$26$6824828,617-1.0%
Colorado$26$8114913,009-1.0%
Michigan$26$7039829,950-1.3%
Rhode Island$26$70361,881-1.4%
Delaware$26$63345,246-1.4%
Nevada$26$75644,333-2.0%
Texas$26$9281372,873-2.3%
Oregon$26$881155,038-2.6%
Hawaii$25$7417909-2.7%
New Hampshire$25$170564,925-3.0%
Maine$25$72491,708-3.7%
Georgia$25$9423318,801-4.1%
Utah$25$71523,440-4.1%
Arizona$25$6730936,851-4.2%
Ohio$25$8432931,153-4.3%
North Dakota$25$83204,593-4.3%
West Virginia$25$69465,878-4.3%
Minnesota$25$1071006,041-4.4%
North Carolina$25$9323030,415-4.4%
Louisiana$25$8225015,858-4.7%
Missouri$25$7729520,378-5.0%
South Carolina$25$8124532,852-5.0%
Vermont$25$121181,929-5.0%
Wisconsin$25$2661508,570-5.1%
Oklahoma$25$7218721,322-6.0%
Kansas$25$6919631,744-6.1%
Mississippi$24$7011714,758-6.8%
Alabama$24$5918611,025-6.8%
Indiana$24$7115110,783-6.8%
Kentucky$24$6214310,114-6.9%
Wyoming$24$21312674-6.9%
South Dakota$24$91171,842-7.0%
Iowa$24$83874,826-7.1%
New Mexico$24$76343,035-7.3%
Nebraska$24$70664,746-7.6%
Tennessee$24$7425424,323-7.9%
Idaho$24$68654,714-8.2%
Arkansas$24$62994,432-9.6%

⚠️ 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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