Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services
Medicare pricing data for 585 providers across 39 states
This procedure has a 7.3x markup — hospitals charge $149.43 but Medicare allows only $20.53. Uninsured patients may face bills 7.3 times higher than what insurance negotiates. Prices vary significantly by location — from $13 in Mississippi to $29 in California. 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
Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services (HCPCS code 93798) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.53, but hospitals typically charge $149.43 — a 7.3x 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 $20.53, your out-of-pocket cost would be approximately $4.11. 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 7.3x more than what Medicare allows for this procedure. Medicare actually pays $15.69 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $29 | $94 | 34 | 9,667 | +39.9% |
| New Jersey | $28 | $60 | 13 | 1,031 | +34.9% |
| Rhode Island | $26 | $61 | 7 | 789 | +27.6% |
| Colorado | $26 | $63 | 34 | 1,396 | +27.3% |
| North Dakota | $26 | $56 | 1 | 35 | +26.8% |
| Maryland | $26 | $64 | 7 | 1,554 | +26.5% |
| Washington | $26 | $64 | 3 | 658 | +24.6% |
| Delaware | $25 | $95 | 1 | 1,483 | +24.2% |
| Montana | $25 | $108 | 1 | 120 | +22.7% |
| Kansas | $25 | $87 | 3 | 133 | +20.2% |
| North Carolina | $25 | $38 | 7 | 596 | +19.3% |
| Iowa | $24 | $152 | 3 | 392 | +19.2% |
| Missouri | $24 | $86 | 16 | 972 | +18.6% |
| New Mexico | $24 | $32 | 3 | 2,684 | +16.6% |
| Florida | $24 | $84 | 32 | 3,881 | +16.4% |
| Idaho | $24 | $138 | 2 | 121 | +16.4% |
| Massachusetts | $24 | $179 | 3 | 101 | +16.0% |
| Wisconsin | $24 | $184 | 34 | 2,524 | +15.9% |
| Oklahoma | $24 | $124 | 2 | 52 | +15.6% |
| Arkansas | $24 | $215 | 7 | 771 | +15.4% |
| West Virginia | $23 | $61 | 8 | 278 | +13.9% |
| New York | $22 | $264 | 68 | 17,622 | +7.1% |
| Minnesota | $22 | $105 | 29 | 2,437 | +6.8% |
| Indiana | $22 | $116 | 20 | 1,874 | +6.2% |
| Michigan | $22 | $113 | 5 | 416 | +5.4% |
| Utah | $20 | $65 | 2 | 26 | -2.5% |
| Pennsylvania | $19 | $64 | 11 | 1,757 | -9.4% |
| Arizona | $19 | $125 | 18 | 3,712 | -9.8% |
| Illinois | $18 | $138 | 39 | 4,902 | -11.8% |
| Ohio | $17 | $59 | 5 | 174 | -14.8% |
| Virginia | $17 | $123 | 5 | 1,280 | -17.5% |
| Louisiana | $14 | $62 | 27 | 1,017 | -29.6% |
| Connecticut | $14 | $186 | 16 | 2,056 | -29.6% |
| Oregon | $14 | $76 | 5 | 43 | -33.4% |
| Texas | $14 | $69 | 59 | 10,883 | -34.0% |
| Georgia | $13 | $65 | 7 | 662 | -36.3% |
| South Carolina | $13 | $382 | 18 | 6,326 | -36.3% |
| Alabama | $13 | $38 | 2 | 998 | -36.7% |
| Mississippi | $13 | $46 | 5 | 1,486 | -37.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber