Hawaii

Cost of a ECG / EKG Visit
in Hawaii

Name: ECG / EKG Cost in Hawaii (2026)
Creator: Jayant Panwar
Published: 2026-03-18

Reviewed by Momentary Medical Group West PC

Hawaii's isolated island geography creates unique healthcare delivery challenges, with many specialists concentrated on Oahu while outer islands rely heavily on telehealth connections. ECG / EKG patients across the state typically pay between $13.50 and $85.00 for basic electrocardiogram services, with a median out-of-pocket cost of $25.34 based on actual insurer negotiated rates. Hawaii maintains 162 active ECG / EKG providers statewide, though distribution varies significantly between urban Honolulu and rural communities on neighbor islands where patients can browse all available providers.

Average

$41

Median

$25

Lowest

$14

Highest

$85

Providers

162

National avg: $44Hawaii: $41

6% below national average

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Compare Similar Procedures

How does ecg / ekg compare to related procedures in Hawaii?

Procedure	CPT	Low	Median	High	Providers
Colonoscopy Diagnostic colonoscopy	45378	$85	$312	$757	64
Colonoscopy with Biopsy Colonoscopy with biopsy	45380	$80	$351	$969	87
Colonoscopy with Polyp Removal Colonoscopy with polyp removal by snare	45385	$80	$453	$1,785	67
Upper Endoscopy (EGD) Diagnostic upper GI endoscopy	43235	$82	$276	$636	52
Upper Endoscopy with Biopsy Upper GI endoscopy with biopsy	43239	$80	$250	$903	92
Echocardiogram Transthoracic echocardiogram with Doppler	93306	$75	$153	$438	97
OB Ultrasound Obstetric ultrasound, complete	76805	$54	$126	$230	111

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 93000 — Electrocardiogram, routine, with interpretation). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 93000 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 93000 (Electrocardiogram, routine, with interpretation), as mandated by the CMS Price Transparency Rule.

What CPT 93000 covers: the provider's professional fee for ecg / ekg. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Full data methodology and glossary

Why ECG / EKG Visit Costs Vary Across Hawaii

Hawaii's healthcare costs run approximately 16% above national averages, driven by the state's remote Pacific location and dependence on imported medical supplies and equipment. The island geography creates natural monopolies where each major island has limited provider competition, particularly affecting specialized services like cardiology.

Urban vs. Rural Provider Availability

Oahu concentrates most of Hawaii's cardiac specialists in urban Honolulu, while residents of Molokai, Lanai, and rural areas of Big Island and Maui often travel significant distances for ECG / EKG services. Inter-island flights for medical care add substantial costs, prompting many neighbor island practices to invest in telehealth ECG transmission capabilities. The provider shortage on outer islands sometimes results in weeks-long wait times for non-urgent cardiac evaluations.

Facility Type and Overhead Costs

Hospital-based ECG services in Hawaii carry premium pricing due to high facility overhead costs, particularly at major systems like Queen's Medical Center and Kaiser Permanente facilities. Independent cardiology practices often offer more competitive rates but are concentrated primarily on Oahu and parts of Maui and Big Island. Many smaller practices share ECG equipment costs through physician group arrangements to maintain affordable pricing.

Insurance Market Competition in Hawaii

HMSA Blue Cross Blue Shield's dominant market position, covering approximately 70% of Hawaii residents, significantly influences ECG / EKG reimbursement rates statewide. UnitedHealthcare and Kaiser Permanente provide additional options, but limited insurer competition allows for higher premium rates compared to mainland markets. The state's small population and geographic isolation create barriers for new insurers entering the Hawaiian market.

Physician Supply and Demand in Hawaii

Hawaii's 162 active ECG / EKG providers serve a population of 1.4 million residents, creating adequate supply in urban areas but significant shortages on neighbor islands. Many cardiologists practice part-time on multiple islands, flying between locations to provide services, which influences scheduling flexibility and pricing. The state's desirable lifestyle attracts some specialists, but high living costs and professional isolation cause others to relocate to mainland practices.

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Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — ECG / EKG Costs in Hawaii

What is the average cost of a ECG / EKG visit in Hawaii without insurance?

Without insurance, ECG / EKG visits in Hawaii range from $13.50 to $85.00, with a median cost of $25.34 based on actual negotiated rates between providers and insurers. Self-pay patients often receive discounts of 20-40% when paying cash at the time of service. Community health centers across the islands offer additional sliding-scale payment options for uninsured residents based on income level.

Does Hawaii Medicaid cover ECG / EKG visits?

Yes, Hawaii's expanded Medicaid program covers medically necessary ECG / EKG services for qualifying adults with incomes up to 138% of the federal poverty level. Coverage includes both diagnostic testing ordered by physicians and routine cardiac screening as part of preventive care. Patients should verify that their chosen provider accepts Hawaii Medicaid before scheduling appointments.

How do I find an affordable ECG / EKG near me in Hawaii?

Compare costs across different facility types, as independent practices often charge less than hospital-based clinics for basic ECG services. Ask about self-pay discounts, payment plans, and consider community health centers on each major island for reduced-cost options. Telehealth consultations with mainland providers can sometimes provide more affordable cardiac consultations, though in-person ECG testing will still be required locally.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial ECG consultations typically cost more than follow-up visits due to comprehensive evaluation time and new patient assessment requirements. While specific consultation pricing varies by provider, the basic ECG test itself maintains consistent pricing of $13.50 to $85.00 regardless of visit type. Follow-up ECG monitoring visits often involve shorter appointment times and may qualify for lower-cost established patient visit codes.

Can I use an HSA or FSA to pay for a ECG / EKG visit in Hawaii?

Yes, both HSA and FSA funds can be used to pay for medically necessary ECG / EKG visits in Hawaii, including copays, deductibles, and out-of-pocket costs. Keep all receipts and documentation for tax purposes, as these qualify as eligible medical expenses. Routine screening ECGs ordered by your physician also qualify for HSA/FSA reimbursement even if performed for preventive purposes.

How does telemedicine affect the cost of seeing a ECG / EKG in Hawaii?

Telemedicine consultations with cardiologists typically cost less than in-person visits, particularly beneficial for Hawaii residents on neighbor islands who would otherwise need to travel to Oahu for specialist care. However, the actual ECG test must still be performed locally at a certified facility, so telemedicine primarily reduces consultation costs rather than testing expenses. Many Hawaii practices now offer hybrid models combining remote consultations with local ECG testing to minimize patient travel and overall costs.

Click a state to compare costs

Average Visit Cost

$22

$132

Office visit (CPT 93000)

Compare With Other States

Rank	State	Average↓	Min⇅	Max⇅	Providers⇅
1	Missouri(MO) Range: $16 – $358	$132	$16	$358	6,421
2	Arkansas(AR) Range: $14 – $358	$132	$14	$358	223
3	Wisconsin(WI) Range: $19 – $102	$65	$19	$102	9,032
4	Alaska(AK) Range: $14 – $95	$63	$14	$95	388
5	Kentucky(KY) Range: $14 – $88	$61	$14	$88	945
6	Connecticut(CT) Range: $14 – $93	$57	$14	$93	1,940
7	Pennsylvania(PA) Range: $13 – $90	$53	$13	$90	2,207
8	California(CA) Range: $16 – $88	$51	$16	$88	22,603
9	Florida(FL) Range: $16 – $80	$45	$16	$80	5,759
10	Georgia(GA) Range: $14 – $93	$45	$14	$93	3,676
11	Iowa(IA) Range: $14 – $93	$45	$14	$93	780
12	Virginia(VA) Range: $13 – $98	$44	$13	$98	3,469
13	Rhode Island(RI) Range: $14 – $90	$44	$14	$90	108
14	Michigan(MI) Range: $15 – $95	$44	$15	$95	2,698
15	Indiana(IN) Range: $14 – $88	$43	$14	$88	781
16	Idaho(ID) Range: $14 – $90	$43	$14	$90	383
17	District of Columbia(DC) Range: $13 – $85	$43	$13	$85	380
18	Texas(TX) Range: $14 – $90	$43	$14	$90	14,138
19	Nevada(NV) Range: $14 – $85	$43	$14	$85	2,914
20	Oklahoma(OK) Range: $14 – $85	$43	$14	$85	1,843
21	Utah(UT) Range: $14 – $88	$42	$14	$88	464
22	Colorado(CO) Range: $16 – $85	$42	$16	$85	1,878
23	New Mexico(NM) Range: $15 – $83	$42	$15	$83	1,322
24	Illinois(IL) Range: $17 – $85	$42	$17	$85	10,197
25	North Carolina(NC) Range: $14 – $85	$42	$14	$85	2,727
26	Minnesota(MN) Range: $25 – $73	$42	$25	$73	1,965
27	Hawaii(HI) Range: $14 – $85	$41	$14	$85	162
28	South Carolina(SC) Range: $14 – $88	$41	$14	$88	1,517
29	Wyoming(WY) Range: $14 – $80	$41	$14	$80	194
30	Louisiana(LA) Range: $14 – $90	$40	$14	$90	3,354
31	West Virginia(WV) Range: $14 – $91	$39	$14	$91	304
32	Tennessee(TN) Range: $14 – $85	$39	$14	$85	2,824
33	Ohio(OH) Range: $11 – $85	$39	$11	$85	6,459
34	Oregon(OR) Range: $14 – $85	$37	$14	$85	1,029
35	Alabama(AL) Range: $11 – $80	$37	$11	$80	2,739
36	Arizona(AZ) Range: $14 – $80	$37	$14	$80	6,498
37	Washington(WA) Range: $14 – $80	$36	$14	$80	5,856
38	Montana(MT) Range: $14 – $80	$36	$14	$80	367
39	New Hampshire(NH) Range: $17 – $60	$36	$17	$60	3,706
40	Massachusetts(MA) Range: $14 – $80	$36	$14	$80	1,987
41	New Jersey(NJ) Range: $13 – $68	$35	$13	$68	7,374
42	Vermont(VT) Range: $11 – $73	$34	$11	$73	352
43	New York(NY) Range: $10 – $63	$30	$10	$63	32,178
44	Kansas(KS) Range: $14 – $53	$29	$14	$53	1,967
45	Mississippi(MS) Range: $13 – $58	$29	$13	$58	1,380
46	Maine(ME) Range: $22 – $35	$28	$22	$35	1,738
47	South Dakota(SD) Range: $27 – $27	$27	$27	$27	328
48	North Dakota(ND) Range: $26 – $27	$26	$26	$27	253
49	Delaware(DE) Range: $15 – $46	$25	$15	$46	212
50	Maryland(MD) Range: $14 – $37	$23	$14	$37	4,160
51	Nebraska(NE) Range: $14 – $37	$22	$14	$37	2,654

Cost of a ECG / EKG Visitin Hawaii