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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 93243
  4. Cost Analysis

How Much Does Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days Cost on Medicare?

Cost analysis for CPT 93243 — Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days

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Average Medicare Payment

$165.60

2023 data

Total Payments (2023)

$48.6M

Services (2023)

237.5K

Price Change (2021–2023)

+110.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2021$78.74$13.3M154.1K—
2022$144.58$38.6M198.8K+83.6%
2023$165.60$48.6M237.5K+14.5%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. CA averages $216.04 vs TN at $151.38.

StateAvg PaymentTotal PaymentsServicesProviders
CA$216.04$25.0M115.8K10
MD$204.54$242.4K1.2K4
NJ$202.16$5.2M25.9K3
PA$199.71$6.9M34.5K1
TX$187.95$7.2M38.2K13
IL$183.45$3.7M20.3K1
GA$174.46$34.9K2001
LA$161.25$107.1K6649
FL$160.87$17.9K1112
OH$154.65$41.6K2692
TN$151.38$44.2K2921

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Irhythm Technologies, Inc.Independent Diagnostic Testing Facility (IDTF)CA$18.8M90.9K$207.00
Cardionet, LlcIndependent Diagnostic Testing Facility (IDTF)PA$6.9M34.5K$199.71
Boston Scientific Cardiac Diagnostic Services, LlcIndependent Diagnostic Testing Facility (IDTF)TX$6.4M33.9K$189.53
Bdx Solutions, Inc.Independent Diagnostic Testing Facility (IDTF)NJ$5.0M24.7K$202.53
Lifewatch Services, IncIndependent Diagnostic Testing Facility (IDTF)IL$3.7M20.3K$183.45
Bdx Solutions, Inc.Independent Diagnostic Testing Facility (IDTF)CA$3.3M12.8K$254.93
Vital Connect, IncIndependent Diagnostic Testing Facility (IDTF)CA$1.6M6.2K$250.33
Medicomp IncIndependent Diagnostic Testing Facility (IDTF)CA$1.1M4.5K$241.87
Bdx Solutions, Inc.Independent Diagnostic Testing Facility (IDTF)TX$598.9K3.3K$179.11
Rmx Monitoring Llc.Independent Diagnostic Testing Facility (IDTF)NJ$206.2K1.1K$193.23
Ami Cardiac Monitoring LlcIndependent Diagnostic Testing Facility (IDTF)MD$175.6K805$218.12
Cardiac Monitoring Services, LlcIndependent Diagnostic Testing Facility (IDTF)CA$153.6K726$211.59
G Medical Diagnostic Services, Inc.Independent Diagnostic Testing Facility (IDTF)TX$72.7K406$179.11
James TranInternal MedicineCA$71.5K332$215.22
Medicomp IncIndependent Diagnostic Testing Facility (IDTF)MD$61.6K351$175.60
Medi-Lynx Cardiac Monitoring, LlcIndependent Diagnostic Testing Facility (IDTF)CA$47.5K207$229.34
Telerhythmics, LlcIndependent Diagnostic Testing Facility (IDTF)TN$44.2K292$151.38
Jon LeleuxCardiologyLA$39.8K245$162.45
Isis Medical, IncorporatedIndependent Diagnostic Testing Facility (IDTF)OH$38.3K249$153.76
Zywie IncIndependent Diagnostic Testing Facility (IDTF)GA$34.9K200$174.46

🤔 Is Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days Overpriced?

Based on the data, CPT 93243 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.

Costs have increased 110.3% since 2021. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.