Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without 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; without exercise, per session (HCPCS code G0423) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $119.87, but hospitals typically charge $289.76 — a 2.4x 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 $119.87, your out-of-pocket cost would be approximately $23.97. 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 2.4x more than what Medicare allows for this procedure. Medicare actually pays $95.32 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Massachusetts | $132 | $364 | 1 | 396 | +10.0% |
| New Jersey | $130 | $602 | 10 | 3,791 | +8.9% |
| California | $128 | $351 | 29 | 10,376 | +7.1% |
| New York | $125 | $278 | 39 | 3,098 | +3.9% |
| Colorado | $123 | $323 | 23 | 4,468 | +2.4% |
| Illinois | $121 | $323 | 1 | 90 | +0.9% |
| Hawaii | $121 | $234 | 2 | 1,205 | +0.8% |
| Nevada | $119 | $316 | 3 | 2,306 | -0.8% |
| Georgia | $118 | $601 | 1 | 378 | -1.3% |
| Texas | $118 | $313 | 7 | 2,338 | -1.9% |
| Florida | $117 | $215 | 3 | 6,524 | -2.3% |
| Arizona | $116 | $225 | 4 | 334 | -3.3% |
| Michigan | $116 | $213 | 3 | 316 | -3.3% |
| North Carolina | $116 | $347 | 1 | 1,316 | -3.4% |
| Missouri | $116 | $124 | 8 | 2,664 | -3.4% |
| Pennsylvania | $114 | $227 | 1 | 556 | -4.5% |
| South Carolina | $113 | $224 | 4 | 1,982 | -5.6% |
| Louisiana | $112 | $148 | 2 | 4,596 | -6.5% |
| Idaho | $111 | $250 | 1 | 895 | -7.3% |
| Arkansas | $110 | $227 | 4 | 5,998 | -8.0% |
⚠️ 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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