ECG/EKG Cost in Massachusetts
Electrocardiogram complete
$16.54Massachusetts 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
Massachusetts Medicare physician rate (2026)
+7.7% vs nationalAverage of 2 localities. Office range $15.80–$17.27.
Your ZIP in Massachusetts
Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.
What ecg/ekg costs at hospitals near you
Everything above is a national average. The hospital you pick in Massachusetts 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 Massachusetts
Where Massachusetts ranks for this CPT
CPT 93000 by Massachusetts locality
| Locality | Office |
|---|---|
| metropolitan boston | $17.27 |
| rest of massachusetts | $15.80 |
PE GPCI ranges from 1.053 to 1.194 in Massachusetts. That index is why the same CPT is not one price statewide.
ECG/EKG and how Massachusetts is priced
Massachusetts is priced through two localities: metro Boston and the rest of the state. Boston's locality carries clearly higher geographic adjustments, reflecting some of the highest medical wages and office costs in the nation, while Worcester, Springfield, and the Cape share the lower rest-of-state factors. The split means the fee schedule itself acknowledges what everyone in the state already knows about Boston prices. Even so, rest-of-state Massachusetts still prices above most of the country.
Boston has arguably the densest concentration of academic medical centers anywhere, and its teaching hospitals pull referrals from all of New England and beyond. That prestige comes with a high-cost market structure that state policymakers have scrutinized for years. Western Massachusetts operates more like a regional market centered on Springfield, and Cape and islands residents contend with seasonal capacity strain.
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 Massachusetts
ECG/EKG in other states
ECG/EKG in Massachusetts: questions
The 2026 Medicare physician office rate for CPT 93000 averages $16.54 across 2 Massachusetts localities, from $15.80 in REST OF MASSACHUSETTS to $17.27 in METROPOLITAN BOSTON. The hospital physician rate averages $16.54. Enter a ZIP for the exact locality.
Yes. CMS splits Massachusetts into 2 payment localities. For this CPT the office physician fee spans $1.47 from the lowest to highest locality. Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.
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 Massachusetts. Medigap may cover that 20%. This is not the hospital facility fee.
No. $16.54 is the Medicare physician allowed amount for CPT 93000. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Massachusetts ranks #45 of 51 states on this physician line (8% above the national office rate of $15.36).