CPT93350

Stress Echocardiogram Cost in Hawaii

Stress tte only

$744Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Hawaii Medicare physician rate (2026)

+0.1% vs national

Single statewide locality.

Hawaii (Hospital)
$185.60
Facility physician fee
Private plan est.
$241–$371
~130–200% of Medicare
Cash / self-pay est.
$148–$278
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Physician fee alone
$185
Only 25% of the hospital total

This is Medicare's separate payment to the facility on top of the physician's fee. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Hawaii

Enter your ZIP code for Hawaii figures, whether you live on Oahu, in Hilo or Kona on the Big Island, or on Maui or Kauai where a Honolulu trip is often part of the plan.

What stress echocardiogram costs at hospitals near you

Everything above is a national average. The hospital you pick in Hawaii moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Hawaii

National office$185.37
National hospital (physician)$185.37
Hawaii vs nationalwithin 2% of the national office rate of $185.37

Where Hawaii ranks for this CPT

Rank (lowest physician fee first)#36 of 51
Lowest stateArkansas ($165.12)
Highest stateAlaska ($216.85)

Stress Echocardiogram and how Hawaii is priced

Hawaii is priced through a single locality with geographic adjustments well above the mainland norm, driven largely by the practice expense side: rent, staff wages, and supplies all cost more across the islands. Unlike Alaska, Hawaii does not carry a special statutory floor, but its indices still place it among the higher-cost states in the fee schedule. Every island shares the same locality, so Honolulu and Hilo publish the same Medicare-approved amounts. The real variable for residents is which island the care is on, not the rate itself.

Oahu holds the bulk of Hawaii's hospital capacity and nearly all of its subspecialty care, so neighbor island residents routinely fly to Honolulu for procedures, adding airfare and hotel costs to the medical bill. A small number of systems dominate the market, and physician recruitment to the islands is a chronic challenge. For complex or rare conditions, some patients travel on to the mainland West Coast.

This procedure: A stress echocardiogram combines a heart ultrasound with exercise: images are taken at rest, you walk or run on a treadmill to a target heart rate, then images are rapidly repeated to see whether any heart wall moves poorly under stress, a sign of blocked arteries. It answers many of the same questions as a nuclear stress test without radiation. Plan on about an hour, wear exercise clothes, and expect to be pushed close to your maximum effort.

What Is Stress Echocardiogram?

A stress echocardiogram combines a heart ultrasound with exercise: images are taken at rest, you walk or run on a treadmill to a target heart rate, then images are rapidly repeated to see whether any heart wall moves poorly under stress, a sign of blocked arteries. It answers many of the same questions as a nuclear stress test without radiation. Plan on about an hour, wear exercise clothes, and expect to be pushed close to your maximum effort.

What Affects the Cost

  • The complete service stacks several billed parts: the imaging, the treadmill stress supervision, and the physician interpretations.
  • Patients who cannot exercise need a dobutamine infusion instead, adding drug and administration charges.
  • Office-based cardiology labs undercut hospital outpatient pricing for the identical test.
  • It is generally cheaper than a nuclear stress test because there is no radioactive tracer, an argument for it when either test would do.
  • Inconclusive results can cascade to nuclear imaging, CT angiography, or catheterization, each a fresh cost tier.

Questions to Ask Before Booking

  • 1.Is stress echo or a nuclear test better for my situation, and what does each cost me?
  • 2.Has prior authorization been approved for this specific test?
  • 3.Will I exercise, or will I need the dobutamine version, and what does the drug add?
  • 4.Is this in an office lab or a hospital department, and what is the price at each?
  • 5.If the result is unclear, what is the next test and its cost?

Stress Echocardiogram in Hawaii: questions

Hawaii is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 93350 is $185.60 in an office and $185.60 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Hawaii uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $37 for the office physician line or $37 for the hospital physician line in Hawaii. Medigap may cover that 20%. This is not the hospital facility fee.

No. $185.60 is only the physician's share. Adding Medicare's facility payment brings the total to about $744 in a hospital outpatient department. Anesthesia, pathology and other codes billed the same day are extra. Hawaii ranks #36 of 51 states on the physician line (within 2% of the national office rate of $185.37).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.