Stress Echocardiogram Cost in Missouri
Stress tte only
Missouri Medicare physician rate (2026)
-6.0% vs nationalAverage of 3 localities. Office range $166.60–$178.87.
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 93350 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $178.87 |
| metropolitan kansas city | $177.05 |
| rest of missouri | $166.60 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
Stress Echocardiogram 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 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?
Other featured procedures in Missouri
Stress Echocardiogram in other states
Stress Echocardiogram in Missouri: questions
How much does stress echocardiogram cost in Missouri?
The 2026 Medicare physician office rate for CPT 93350 averages $174.17 across 3 Missouri localities, from $166.60 in REST OF MISSOURI to $178.87 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $174.17. 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 $12.27 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 $35 for the office physician line or $35 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.
Is this the full stress echocardiogram bill in Missouri?
No. $174.17 is the Medicare physician allowed amount for CPT 93350. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #14 of 51 states on this physician line (6% below the national office rate of $185.37).