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Pennsylvania

Cost of a ECG / EKG Visit
in Pennsylvania

Reviewed by Momentary Medical Group West PC

Pennsylvania's healthcare market, dominated by major systems like UPMC and Penn Medicine, creates significant cost variations for ECG / EKG services across the state's diverse urban and rural landscape. Patients typically pay between $12.67 and $90.00 for an ECG / EKG, with a median out-of-pocket cost of $55.00 based on negotiated insurance rates. Pennsylvania has over 2,200 active ECG / EKG providers, giving patients substantial choice when browsing all providers throughout the state.

Average

$53

Median

$55

Lowest

$13

Highest

$90

Providers

2,207

National avg: $44Pennsylvania: $53

20% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$85$323$1,8301,067
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$373$2,1171,414
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$469$2,3381,327
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$90$274$7151,120
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$273$1,6471,592
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$61$155$6771,469
OB Ultrasound

Obstetric ultrasound, complete

76805$42$85$3281,801

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 Pennsylvania

Pennsylvania's healthcare costs run approximately 9% above the national average, driven by the state's concentration of high-cost academic medical centers and the dominance of major health systems in Philadelphia and Pittsburgh. The state's mix of dense urban markets and sprawling rural counties creates distinct cost and access patterns across different regions.

Urban vs. Rural Provider Availability

Philadelphia and Pittsburgh metro areas have abundant ECG / EKG specialists, creating competitive pricing, while rural Pennsylvania counties often have limited cardiology access, requiring patients to travel to regional centers. The Pennsylvania Department of Health identifies several rural counties as medically underserved, where patients may face higher travel costs but potentially lower procedure fees at community hospitals.

Facility Type and Overhead Costs

Hospital-owned cardiology practices affiliated with major systems like UPMC, Penn Medicine, or Geisinger typically charge facility fees that can double the cost of ECG / EKG visits compared to independent practices. Academic medical centers command premium pricing due to their teaching hospital status and specialized cardiac programs, while community hospitals often offer more affordable options for routine cardiac testing.

Insurance Market Competition in Pennsylvania

The presence of major regional insurers Highmark, Independence Blue Cross, and national players like UnitedHealthcare creates moderate competition that helps contain negotiated rates for ECG / EKG services. Western Pennsylvania's market is heavily influenced by Highmark's dominance, while the Philadelphia region sees more balanced competition between Independence Blue Cross and other carriers, affecting provider reimbursement rates.

Physician Supply and Demand in Pennsylvania

With over 2,200 active ECG / EKG providers statewide, Pennsylvania maintains adequate cardiac specialist availability in urban areas, though rural regions face ongoing shortages that can drive up costs and extend wait times. The state's strong medical education infrastructure, including multiple cardiology residency programs, helps maintain physician supply, but retirement rates among established cardiologists continue to outpace new graduates in some regions.

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 Pennsylvania

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

Without insurance, ECG / EKG visits in Pennsylvania typically range from $12.67 to $90.00, with a median cost of $55.00 based on negotiated insurance rates. Self-pay patients may qualify for discounts of 20-40% at many practices, bringing costs down significantly. Independent cardiology practices often offer more flexible pricing than hospital-based clinics for uninsured patients.

Does Pennsylvania Medicaid cover ECG / EKG visits?

Yes, Pennsylvania expanded Medicaid covers medically necessary ECG / EKG visits when referred by a primary care physician or when symptoms warrant cardiac evaluation. Coverage includes both the physician consultation and basic cardiac testing like electrocardiograms. Patients typically have minimal or no copays for these services under Pennsylvania's expanded Medicaid program.

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

Compare prices between independent cardiology practices and hospital-based clinics, as independent practices often charge 30-50% less for the same services. Ask about self-pay discounts if you're uninsured, and consider community health centers in rural Pennsylvania counties for more affordable options. Telehealth consultations can also reduce costs for follow-up visits and medication management.

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

Based on Pennsylvania provider data, initial ECG / EKG consultations typically cost between $12.67 and $90.00 with a median of $55.00. Follow-up visits are generally 20-30% less expensive than initial consultations, though complex cases requiring extensive testing may have similar costs regardless of visit type.

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

Yes, ECG / EKG visits qualify as medical expenses eligible for HSA or FSA reimbursement under IRS guidelines. This includes consultation fees, diagnostic tests, and related cardiac procedures prescribed by your physician. Keep all receipts and documentation for reimbursement, and note that HSA funds can be used tax-free for these qualified medical expenses.

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

Telemedicine consultations for ECG / EKG follow-ups typically cost 20-40% less than in-person visits in Pennsylvania, though initial evaluations usually require in-person examination and testing. Pennsylvania expanded telehealth coverage during the pandemic, and many insurers continue to cover virtual cardiology consultations at the same rate as office visits. Remote monitoring services are increasingly popular for ongoing cardiac care management.

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