CPT93000

ECG/EKG Cost in Rhode Island

Electrocardiogram complete

$15.70Rhode Island physician fee2026 Medicare office rate
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Rhode Island Medicare physician rate (2026)

+2.2% vs national

Single statewide locality.

Rhode Island (Hospital)
$15.70
Facility physician fee
Private plan est.
$20–$31
~130–200% of Medicare
Cash / self-pay est.
$13–$24
~80–150% of Medicare

Your ZIP in Rhode Island

Enter a ZIP code for your part of Rhode Island, whether Providence and Pawtucket, Warwick and Cranston, Newport, or the South County shore towns.

What ecg/ekg costs at hospitals near you

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

National office$15.36
National hospital (physician)$15.36
Rhode Island vs national2% above the national office rate of $15.36

Where Rhode Island ranks for this CPT

Rank (lowest physician fee first)#39 of 51
Lowest stateArkansas ($13.77)
Highest stateAlaska ($18.49)

ECG/EKG and how Rhode Island is priced

Rhode Island, the smallest state, is unsurprisingly a single payment locality, with geographic adjustments above the national average in line with southern New England's cost structure. Providence and the shoreline towns publish identical Medicare-approved amounts, and no point in the state is more than an hour from its main hospitals. The compact geography makes locality subdivision pointless. Pricing here reads as a slightly discounted echo of neighboring Boston's market.

Providence dominates Rhode Island care, with the state's teaching hospitals and academic affiliation concentrated there, and consolidation has left a small number of systems running most beds. Many Rhode Islanders, particularly in the northeast corner, use Boston hospitals for complex or specialized procedures, accepting metro Boston pricing when they do. South County residents have fewer local options and often travel to Providence.

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 Rhode Island: questions

Rhode Island is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 93000 is $15.70 in an office and $15.70 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Rhode Island 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 Rhode Island. Medigap may cover that 20%. This is not the hospital facility fee.

No. $15.70 is the Medicare physician allowed amount for CPT 93000. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Rhode Island ranks #39 of 51 states on this physician line (2% above 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.