CPT93000

ECG/EKG Cost in Kentucky

Electrocardiogram complete

$14.31Kentucky physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Kentucky Medicare physician rate (2026)

-6.8% vs national

Single statewide locality.

Kentucky (Hospital)
$14.31
Facility physician fee
Private plan est.
$19–$29
~130–200% of Medicare
Cash / self-pay est.
$11–$21
~80–150% of Medicare

Your ZIP in Kentucky

Use a ZIP lookup for your area of Kentucky, whether Louisville, Lexington, the northern Kentucky suburbs of Cincinnati, Bowling Green, Owensboro, or the Appalachian east.

What ecg/ekg costs at hospitals near you

Everything above is a national average. The hospital you pick in Kentucky 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 Kentucky

National office$15.36
National hospital (physician)$15.36
Kentucky vs national7% below the national office rate of $15.36

Where Kentucky ranks for this CPT

Rank (lowest physician fee first)#10 of 51
Lowest stateArkansas ($13.77)
Highest stateAlaska ($18.49)

ECG/EKG and how Kentucky is priced

Kentucky's fee schedule runs on one statewide locality, with geographic indices below the national average, so Louisville, Lexington, and the Appalachian east all publish the same Medicare-approved amounts. The uniform locality smooths over a state with sharp internal contrasts, from urban river cities to some of the most rural counties in America. Because the adjustments are identical everywhere, the statewide figures here transfer cleanly to any Kentucky address. Setting of care, office versus hospital outpatient, remains the biggest driver of what a patient actually pays.

Louisville and Lexington host the state's two academic medical centers and absorb referrals from a wide rural hinterland, while northern Kentucky functions as part of the Cincinnati market across the river. Eastern Kentucky's mountain counties face persistent physician shortages and long travel for specialty procedures. For residents along the borders, comparing against Cincinnati, Nashville, or Huntington providers is often worthwhile.

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?

ECG/EKG in Kentucky: questions

Kentucky is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 93000 is $14.31 in an office and $14.31 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Kentucky 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 $3 for the office physician line or $3 for the hospital physician line in Kentucky. Medigap may cover that 20%. This is not the hospital facility fee.

No. $14.31 is the Medicare physician allowed amount for CPT 93000. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Kentucky ranks #10 of 51 states on this physician line (7% below the national office rate of $15.36).

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.