93351

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report

Medicare pricing data for 11,690 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $79 in Vermont to $251 in District of Columbia. 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

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report (HCPCS code 93351) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $189.37, but hospitals typically charge $698.90 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$37.87

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $189.37, your out-of-pocket cost would be approximately $37.87. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$189.37
Average Hospital Charge
$698.90
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$698.90
Medicare Allowed$189.37
Medicare Payment$142.72

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $142.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$251$63137475+32.4%
Maryland$250$7141583,821+32.2%
California$249$7591,61146,008+31.7%
Alaska$249$1,84526362+31.3%
New York$236$9501,07225,072+24.4%
Wyoming$232$2,64812408+22.5%
Puerto Rico$230$236313+21.6%
New Jersey$224$7613383,917+18.4%
Nevada$208$50032232+10.0%
Hawaii$208$67636630+9.9%
Texas$198$65973210,387+4.8%
Kansas$197$580581,033+3.9%
Alabama$187$3971021,305-1.3%
Rhode Island$184$59965564-3.0%
Montana$180$560431,350-4.9%
Arizona$180$7462313,423-5.2%
Florida$178$6015935,608-5.8%
Delaware$166$50333207-12.4%
South Carolina$166$8431741,550-12.6%
Virginia$161$4563623,874-14.9%
Mississippi$160$65440682-15.4%
North Carolina$155$5994925,601-18.3%
Nebraska$154$560921,166-18.9%
Massachusetts$151$5833095,195-20.1%
Iowa$151$58488591-20.2%
Colorado$146$596144775-23.1%
Washington$143$6112503,353-24.5%
Pennsylvania$140$5457448,284-26.0%
Louisiana$139$4751571,581-26.5%
Georgia$137$5662541,413-27.6%
Oregon$133$41982681-29.5%
Michigan$132$4395155,178-30.3%
Connecticut$125$6461511,948-34.2%
Illinois$123$5915317,873-35.2%
South Dakota$122$34741305-35.4%
New Mexico$115$40730271-39.1%
Arkansas$112$3961362,798-40.8%
West Virginia$112$4751873-41.1%
Wisconsin$111$1,5422252,695-41.4%
Minnesota$111$7922112,874-41.6%
Kentucky$110$29284601-41.9%
Idaho$107$37058339-43.3%
Utah$107$35256663-43.7%
Oklahoma$106$27870493-44.2%
Indiana$100$3912001,585-47.1%
Ohio$98$5504323,286-48.1%
Missouri$98$5422553,655-48.1%
Tennessee$96$3511801,362-49.5%
New Hampshire$93$466441,138-51.0%
Maine$81$27761617-57.2%
North Dakota$81$39413276-57.4%
Vermont$79$1833191-58.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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