CPT93000

ECG/EKG Cost in Pennsylvania

Electrocardiogram complete

$15.28Pennsylvania physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Pennsylvania Medicare physician rate (2026)

-0.5% vs national

Average of 2 localities. Office range $14.59–$15.97.

Pennsylvania (Hospital)
$15.28
Facility physician fee
Private plan est.
$20–$31
~130–200% of Medicare
Cash / self-pay est.
$12–$23
~80–150% of Medicare

Your ZIP in Pennsylvania

Look up your ZIP to see whether metro Philadelphia or rest-of-state pricing applies, from Philadelphia and its collar counties to Pittsburgh, Harrisburg, Allentown, Scranton, Erie, and the rural center.

What ecg/ekg costs at hospitals near you

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

National office$15.36
National hospital (physician)$15.36
Pennsylvania vs nationalwithin 2% of the national office rate of $15.36

Where Pennsylvania ranks for this CPT

Rank (lowest physician fee first)#34 of 51
Lowest stateArkansas ($13.77)
Highest stateAlaska ($18.49)

CPT 93000 by Pennsylvania locality

LocalityOffice
metropolitan philadelphia$15.97
rest of pennsylvania$14.59

PE GPCI ranges from 0.918 to 1.041 in Pennsylvania. That index is why the same CPT is not one price statewide.

ECG/EKG and how Pennsylvania is priced

Pennsylvania's fee schedule separates metro Philadelphia from the rest of the state, giving the southeast its own higher-cost locality while Pittsburgh, Harrisburg, Allentown, Erie, and rural Pennsylvania share rest-of-state adjustments. That means the state's second-largest medical market, Pittsburgh, is priced with rural counties rather than with Philadelphia. The Philadelphia locality's premium reflects the metro's wage and rent levels, which lead the state by a wide margin. For patients, the key locality question in Pennsylvania is simply whether care happens in the Philadelphia area.

Philadelphia is one of America's historic centers of academic medicine, dense with teaching hospitals, while Pittsburgh is dominated by a pair of large integrated systems whose rivalry has defined that market for years. The rural middle of the state, sometimes called the T, has far fewer options, and hospital closures there have drawn statewide attention. Residents near the edges use New York, Baltimore, or Ohio providers when convenient.

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 Pennsylvania: questions

The 2026 Medicare physician office rate for CPT 93000 averages $15.28 across 2 Pennsylvania localities, from $14.59 in REST OF PENNSYLVANIA to $15.97 in METROPOLITAN PHILADELPHIA. The hospital physician rate averages $15.28. Enter a ZIP for the exact locality.

Yes. CMS splits Pennsylvania into 2 payment localities. For this CPT the office physician fee spans $1.38 from the lowest to highest locality. Look up your ZIP to see whether metro Philadelphia or rest-of-state pricing applies, from Philadelphia and its collar counties to Pittsburgh, Harrisburg, Allentown, Scranton, Erie, and the rural center.

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 Pennsylvania. Medigap may cover that 20%. This is not the hospital facility fee.

No. $15.28 is the Medicare physician allowed amount for CPT 93000. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Pennsylvania ranks #34 of 51 states on this physician line (within 2% of 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.