ECG/EKG Cost in Illinois
Electrocardiogram complete
$15.69Illinois physician fee2026 Medicare office rate- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Illinois Medicare physician rate (2026)
+2.1% vs nationalAverage of 4 localities. Office range $14.96–$16.31.
Your ZIP in Illinois
Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.
What ecg/ekg costs at hospitals near you
Everything above is a national average. The hospital you pick in Illinois moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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 Illinois
Where Illinois ranks for this CPT
CPT 93000 by Illinois locality
| Locality | Office |
|---|---|
| chicago | $16.31 |
| suburban chicago | $16.16 |
| east st. louis | $15.32 |
| rest of illinois | $14.96 |
PE GPCI ranges from 0.913 to 1.027 in Illinois. That index is why the same CPT is not one price statewide.
ECG/EKG and how Illinois is priced
Illinois uses one of the more detailed locality maps in the Midwest: Chicago has its own locality, the suburban collar counties are priced separately, the East St. Louis area carries its own locality tied to the St. Louis market, and the rest of the state shares a fourth. Approved amounts step down noticeably from the city and suburbs to downstate, so the same procedure prices differently in Chicago, Naperville, Belleville, and Springfield. This four-way split makes Illinois one of the states where a ZIP-level check genuinely changes the answer. Downstate rates align more closely with neighboring rural states than with Chicagoland.
Chicago is one of the country's great medical hubs, with multiple academic medical centers and deep specialist supply, and its suburbs support large competing systems of their own. Downstate Illinois is a different market: smaller cities like Peoria, Springfield, and Champaign serve wide rural areas, and the Metro East suburbs orient toward St. Louis providers. Where you sit on that map shapes both price and choice.
This procedure: A 12-lead electrocardiogram records the heart's electrical activity through ten stickers placed on the chest and limbs, producing the familiar wave tracing in under a minute of recording. It screens for rhythm problems, prior heart attacks, and electrical abnormalities, and takes about five minutes start to finish with no preparation, needles, or radiation. This code covers the complete service: the tracing plus a physician's interpretation and written report.
What Is ECG/EKG?
A 12-lead electrocardiogram records the heart's electrical activity through ten stickers placed on the chest and limbs, producing the familiar wave tracing in under a minute of recording. It screens for rhythm problems, prior heart attacks, and electrical abnormalities, and takes about five minutes start to finish with no preparation, needles, or radiation. This code covers the complete service: the tracing plus a physician's interpretation and written report.
What Affects the Cost
- –Setting matters even for a cheap test: an ER or hospital-based ECG can cost many times an office ECG.
- –Freestanding urgent cares and primary care offices bundle it inexpensively into visits, while hospital outpatient departments attach facility fees.
- –An ECG billed as part of a pre-operative clearance workup adds to that visit's total alongside labs and the exam.
- –Abnormal results commonly trigger an echocardiogram or cardiology consult, each a much larger charge.
- –Some cardiology practices bill the tracing and interpretation as separate components rather than this combined code.
Questions to Ask Before Booking
- 1.Why do I need an ECG today, and is it covered given my symptoms or history?
- 2.Is this billed as one combined charge or as separate tracing and interpretation fees?
- 3.What does an ECG cost here versus at my primary care office?
- 4.If it is abnormal, what follow-up tests would you order and at what cost?
- 5.For a routine physical: will my plan pay for a screening ECG, or will this come to me?
Other featured procedures in Illinois
ECG/EKG in other states
ECG/EKG in Illinois: questions
The 2026 Medicare physician office rate for CPT 93000 averages $15.69 across 4 Illinois localities, from $14.96 in REST OF ILLINOIS to $16.31 in CHICAGO. The hospital physician rate averages $15.69. Enter a ZIP for the exact locality.
Yes. CMS splits Illinois into 4 payment localities. For this CPT the office physician fee spans $1.35 from the lowest to highest locality. Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $3 for the office physician line or $3 for the hospital physician line in Illinois. Medigap may cover that 20%. This is not the hospital facility fee.
No. $15.69 is the Medicare physician allowed amount for CPT 93000. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Illinois ranks #38 of 51 states on this physician line (2% above the national office rate of $15.36).