ECG/EKG Cost in Missouri
Electrocardiogram complete
Missouri Medicare physician rate (2026)
-4.9% vs nationalAverage of 3 localities. Office range $14.10–$14.93.
Your ZIP in Missouri
Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What this number is
The figures on this page are 2026 Medicare physician allowed amounts for a specific CPT code: the professional fee, adjusted by geographic practice-cost indices. They are not a hospital chargemaster price, not your insurer's contracted rate, and not a quote. Hospital facility fees, anesthesia, implants, imaging reads, and pathology are billed separately when they apply.
National vs Missouri
Where Missouri ranks for this CPT
CPT 93000 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $14.93 |
| metropolitan kansas city | $14.80 |
| rest of missouri | $14.10 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
ECG/EKG and how Missouri is priced
Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.
St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.
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 Missouri
ECG/EKG in other states
ECG/EKG in Missouri: questions
How much does ecg/ekg cost in Missouri?
The 2026 Medicare physician office rate for CPT 93000 averages $14.61 across 3 Missouri localities, from $14.10 in REST OF MISSOURI to $14.93 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $14.61. Enter a ZIP for the exact locality.
Does the rate change inside Missouri?
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $0.83 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What will a Medicare patient owe for the physician fee?
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 Missouri. Medigap may cover that 20%. This is not the hospital facility fee.
Is this the full ecg/ekg bill in Missouri?
No. $14.61 is the Medicare physician allowed amount for CPT 93000. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #18 of 51 states on this physician line (5% below the national office rate of $15.36).