93270

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring

Medicare pricing data for 3,550 providers across 43 states

🤖AI Overview

This procedure has a 17.3x markup — hospitals charge $136.97 but Medicare allows only $7.94. Uninsured patients may face bills 17.3 times higher than what insurance negotiates. 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

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring (HCPCS code 93270) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7.94, but hospitals typically charge $136.97 — a 17.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.59

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $7.94, your out-of-pocket cost would be approximately $1.59. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$7.94
Average Hospital Charge
$136.97
Markup Ratio
17.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$136.97
Medicare Allowed$7.94
Medicare Payment$6.06

Hospitals charge 17.3x more than what Medicare allows for this procedure. Medicare actually pays $6.06 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$9$13839274+14.1%
Connecticut$9$6663263+13.0%
Alaska$9$2591634+12.1%
Massachusetts$9$9262431+11.7%
California$9$2862166,389+9.3%
New York$9$1022341,299+9.1%
Colorado$9$6663225+8.8%
Washington$8$5672416+6.3%
Rhode Island$8$61943+5.8%
Montana$8$24178+5.4%
New Hampshire$8$41515+3.4%
North Dakota$8$731119+3.1%
Virginia$8$6097439+2.6%
New Jersey$8$130105845+2.5%
Michigan$8$5198521+2.3%
Illinois$8$75109859+0.4%
Texas$8$1522633,196+0.1%
Florida$8$362451,938-1.3%
Oregon$8$312465-1.4%
Arizona$8$4183411-2.0%
Ohio$8$48107638-3.1%
North Carolina$8$1022501,415-3.8%
Wisconsin$8$27174301-3.8%
Utah$8$432165-4.5%
Georgia$8$1022151,174-5.3%
Missouri$8$7189730-5.5%
South Carolina$7$1081941,389-5.7%
Oklahoma$7$5918177-6.4%
Nebraska$7$321424-6.5%
Indiana$7$158119815-7.1%
New Mexico$7$3710317-7.3%
West Virginia$7$622788-9.6%
Kentucky$7$2554219-9.7%
Kansas$7$8159416-10.1%
Louisiana$7$5833105-10.5%
Tennessee$7$68125436-10.7%
Alabama$7$451191,003-11.8%
Pennsylvania$7$8463965-14.6%
Minnesota$7$16727365-16.5%
Iowa$7$1522131-18.1%
Mississippi$7$13926183-18.1%
Arkansas$6$3541214-25.1%
Idaho$6$168612-26.8%

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

Related from TheDataProject.ai

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