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Massachusetts

Cost of a ECG / EKG Visit
in Massachusetts

Reviewed by Momentary Medical Group West PC

Massachusetts operates one of the nation's most regulated healthcare markets, with the state's All-Payer Claims Database providing unprecedented cost transparency across its academic medical centers and community hospitals. ECG / EKG procedures in Massachusetts show negotiated rates ranging from $13.50 to $80.00, with most patients paying around the median rate of $13.50 for standard electrocardiogram services. The state maintains nearly 2,000 active providers offering ECG / EKG services across its diverse healthcare landscape, from Boston's world-renowned teaching hospitals to community health centers in the Berkshires.

Average

$36

Median

$14

Lowest

$14

Highest

$80

Providers

1,987

National avg: $44Massachusetts: $36

18% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$113$500$1,8301,075
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$600$2,1171,381
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$735$2,3381,352
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$159$457$1,2591,065
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$508$1,6541,412
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$77$218$6771,520
OB Ultrasound

Obstetric ultrasound, complete

76805$52$80$3281,764

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 93000Electrocardiogram, 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.

Why ECG / EKG Visit Costs Vary Across Massachusetts

Massachusetts healthcare costs run approximately 20% above national averages, driven by the state's concentration of prestigious academic medical centers and highly regulated insurance market. The Commonwealth's healthcare spending per capita ranks among the highest nationally, reflecting both premium provider quality and elevated operational costs.

Urban vs. Rural Provider Availability

The Greater Boston area concentrates most of Massachusetts's cardiac specialists, creating access challenges for residents in the Pioneer Valley and Berkshire County. Rural patients often travel significant distances for specialized ECG / EKG services, potentially incurring higher costs due to limited local options. Urban areas benefit from competitive provider networks that can help moderate pricing.

Facility Type and Overhead Costs

Massachusetts's healthcare landscape features major systems like Mass General Brigham and Beth Israel Lahey Health, whose hospital-based clinics typically charge premium rates for ECG / EKG services. Independent cardiology practices often offer more competitive pricing but may have less comprehensive facilities. Academic medical centers command higher reimbursement rates due to their teaching and research missions.

Insurance Market Competition in Massachusetts

Blue Cross Blue Shield of Massachusetts holds significant market share alongside regional players Tufts Health Plan and Harvard Pilgrim Health Care, creating moderate competition. The state's highly regulated insurance environment standardizes many benefits but can limit price competition. Negotiated rates between these major insurers and providers significantly influence patient out-of-pocket costs for ECG / EKG services.

Physician Supply and Demand in Massachusetts

With nearly 2,000 providers offering ECG / EKG services, Massachusetts maintains robust physician supply relative to its population of 7 million residents. This healthy provider-to-patient ratio helps moderate wait times but doesn't necessarily translate to lower costs given the state's premium healthcare market. The concentration of top-tier medical training programs ensures high provider quality but supports elevated pricing structures.

JP

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 Massachusetts

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

Uninsured patients in Massachusetts typically pay between $13.50 and $80.00 for ECG / EKG services, with a median cost around $13.50 based on negotiated insurance rates. Self-pay patients may receive discounts of 20-40% from many providers, particularly independent practices. Community health centers often offer sliding scale fees based on income, making cardiac care more accessible for uninsured Massachusetts residents.

Does Massachusetts Medicaid cover ECG / EKG visits?

Yes, Massachusetts expanded Medicaid through MassHealth, which covers medically necessary ECG / EKG visits with minimal patient copays. MassHealth provides comprehensive cardiac care coverage, including diagnostic electrocardiograms ordered by physicians. Patients typically need referrals from their primary care providers, but emergency ECGs are covered without prior authorization.

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

Compare costs across different facility types, as independent cardiology practices often charge less than hospital-based clinics in Massachusetts. Look into community health centers that offer sliding scale fees based on income, and ask providers about self-pay discounts if you're uninsured. Consider traveling outside the greater Boston area where costs may be lower, and always verify insurance network status before booking.

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

Initial ECG / EKG consultations typically cost more than follow-up visits, though the electrocardiogram procedure itself maintains consistent pricing around $13.50 to $80.00. New patient visits involve comprehensive evaluations and longer appointment times, while established patient follow-ups focus on specific cardiac monitoring needs. The ECG component represents a standardized cost regardless of visit type.

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

Yes, ECG / EKG visits qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these pre-tax funds to pay for copays, deductibles, and any out-of-pocket costs related to cardiac diagnostic services. Keep receipts and documentation from your Massachusetts provider for HSA/FSA reimbursement purposes.

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

While ECG / EKG procedures require in-person visits for the actual electrocardiogram, Massachusetts providers increasingly offer telehealth consultations for follow-up visits and results discussions. Telemedicine visits typically cost less than in-person consultations, around $75-150 compared to $200-400 for office visits. Many Massachusetts insurers cover telehealth services at the same rate as in-person visits, making remote cardiac care more accessible and affordable.

Click a state to compare costs

Average Visit Cost

$22
$132

Office visit (CPT 93000)

Compare With Other States

RankStateAverage
1Missouri
Range: $16$358
$132
2Arkansas
Range: $14$358
$132
3Wisconsin
Range: $19$102
$65
4Alaska
Range: $14$95
$63
5Kentucky
Range: $14$88
$61
6Connecticut
Range: $14$93
$57
7Pennsylvania
Range: $13$90
$53
8California
Range: $16$88
$51
9Florida
Range: $16$80
$45
10Georgia
Range: $14$93
$45
11Iowa
Range: $14$93
$45
12Virginia
Range: $13$98
$44
13Rhode Island
Range: $14$90
$44
14Michigan
Range: $15$95
$44
15Indiana
Range: $14$88
$43
16Idaho
Range: $14$90
$43
17District of Columbia
Range: $13$85
$43
18Texas
Range: $14$90
$43
19Nevada
Range: $14$85
$43
20Oklahoma
Range: $14$85
$43
21Utah
Range: $14$88
$42
22Colorado
Range: $16$85
$42
23New Mexico
Range: $15$83
$42
24Illinois
Range: $17$85
$42
25North Carolina
Range: $14$85
$42
26Minnesota
Range: $25$73
$42
27Hawaii
Range: $14$85
$41
28South Carolina
Range: $14$88
$41
29Wyoming
Range: $14$80
$41
30Louisiana
Range: $14$90
$40
31West Virginia
Range: $14$91
$39
32Tennessee
Range: $14$85
$39
33Ohio
Range: $11$85
$39
34Oregon
Range: $14$85
$37
35Alabama
Range: $11$80
$37
36Arizona
Range: $14$80
$37
37Washington
Range: $14$80
$36
38Montana
Range: $14$80
$36
39New Hampshire
Range: $17$60
$36
40Massachusetts
Range: $14$80
$36
41New Jersey
Range: $13$68
$35
42Vermont
Range: $11$73
$34
43New York
Range: $10$63
$30
44Kansas
Range: $14$53
$29
45Mississippi
Range: $13$58
$29
46Maine
Range: $22$35
$28
47South Dakota
Range: $27$27
$27
48North Dakota
Range: $26$27
$26
49Delaware
Range: $15$46
$25
50Maryland
Range: $14$37
$23
51Nebraska
Range: $14$37
$22
ECG / EKG in Other States