Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session
Medicare pricing data for 147 providers across 20 states
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
Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session (HCPCS code G0422) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $118.34, but hospitals typically charge $295.76 — a 2.5x 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 $118.34, your out-of-pocket cost would be approximately $23.67. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $94.06 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $132 | $810 | 10 | 2,473 | +11.7% |
| Massachusetts | $132 | $364 | 1 | 428 | +11.5% |
| California | $126 | $338 | 29 | 10,984 | +6.1% |
| New York | $124 | $276 | 39 | 3,048 | +5.1% |
| Colorado | $123 | $323 | 23 | 4,770 | +3.7% |
| Hawaii | $122 | $234 | 2 | 408 | +2.7% |
| Illinois | $121 | $323 | 1 | 113 | +2.3% |
| Florida | $119 | $183 | 3 | 3,832 | +0.4% |
| Nevada | $119 | $307 | 3 | 10,413 | +0.2% |
| Georgia | $118 | $601 | 1 | 406 | -0.0% |
| Michigan | $116 | $232 | 3 | 145 | -1.7% |
| Arizona | $116 | $225 | 4 | 1,764 | -2.0% |
| Missouri | $116 | $124 | 8 | 3,182 | -2.1% |
| North Carolina | $116 | $347 | 1 | 6,480 | -2.1% |
| Texas | $115 | $317 | 7 | 2,636 | -2.7% |
| Pennsylvania | $114 | $322 | 1 | 3,646 | -3.3% |
| South Carolina | $113 | $224 | 4 | 676 | -4.4% |
| Louisiana | $112 | $155 | 2 | 5,540 | -5.4% |
| Idaho | $111 | $250 | 1 | 878 | -6.1% |
| Arkansas | $111 | $233 | 4 | 8,943 | -6.5% |
⚠️ 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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