CPT 93225
Electrocardiogram (ecg) 2-day continuous
Asking price, not received
The fee schedule figure
Balance is patient coinsurance
Providers submitted an average of $121.17 for this code and Medicare allowed $17.05 — 7.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $12.61 (74%); the rest is the patient’s coinsurance and deductible.
- Services
- 30,393
- Beneficiaries
- 28,998
- Providers billing it
- 896
- Total allowed
- $518,201
Medicare Part B, 2024
Services × allowed amount
What Medicare pays for CPT 93225
Across 30,393 services billed by 896 providers to 28,998 beneficiaries, Medicare allowed an average of $17.05 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.
Who bills 93225
| Specialty | Services | Beneficiaries | Avg allowed | Providers |
|---|---|---|---|---|
| Cardiology | 18,203 | 17,410 | $17.24 | 586 |
| Independent Diagnostic Testing Facility (IDTF) | 3,580 | 3,284 | $16.61 | 14 |
| Clinical Cardiac Electrophysiology | 3,361 | 3,249 | $16.99 | 103 |
| Interventional Cardiology | 2,769 | 2,654 | $16.61 | 93 |
| Internal Medicine | 1,068 | 1,043 | $17.07 | 54 |
| Nurse Practitioner | 444 | 434 | $16.93 | 15 |
| Diagnostic Radiology | 352 | 325 | $15.31 | 2 |
| Family Practice | 315 | 303 | $17.56 | 16 |
| Physician Assistant | 85 | 84 | $15.09 | 3 |
| Neurology | 47 | 47 | $21.38 | 1 |
| Nuclear Medicine | 43 | 43 | $17.33 | 1 |
| Cardiac Surgery | 41 | 39 | $12.42 | 2 |
| Advanced Heart Failure and Transplant Cardiology | 27 | 27 | $17.56 | 2 |
| Intensive Cardiac Rehabilitation | 20 | 20 | $21.34 | 1 |
| Undefined Physician type | 14 | 13 | $16.58 | 1 |
93225 reimbursement by state
Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.
| State | Services | Allowed | Standardized pmt | Providers |
|---|---|---|---|---|
| New York | 3,737 | $18.30 | $12.54 | 84 |
| Florida | 3,365 | $17.29 | $13.12 | 90 |
| California | 2,628 | $19.98 | $12.62 | 57 |
| Texas | 1,715 | $15.15 | $11.54 | 34 |
| Pennsylvania | 1,533 | $15.81 | $11.39 | 23 |
| Massachusetts | 1,390 | $19.30 | $13.02 | 40 |
| Georgia | 1,363 | $16.46 | $13.24 | 51 |
| Ohio | 1,231 | $16.16 | $12.88 | 47 |
| North Carolina | 1,101 | $15.78 | $12.38 | 41 |
| Tennessee | 1,003 | $16.12 | $12.80 | 24 |
| Illinois | 973 | $16.01 | $11.72 | 25 |
| New Jersey | 971 | $18.39 | $12.61 | 34 |
| Arizona | 710 | $17.13 | $12.78 | 24 |
| Alabama | 666 | $14.21 | $12.55 | 16 |
| Kentucky | 617 | $14.78 | $12.24 | 22 |
| Connecticut | 611 | $20.21 | $13.27 | 28 |
| Indiana | 577 | $15.14 | $11.45 | 31 |
| Virginia | 561 | $16.42 | $12.80 | 24 |
| Arkansas | 561 | $15.09 | $13.12 | 13 |
| Michigan | 560 | $16.79 | $13.19 | 23 |
| Washington | 524 | $19.00 | $12.19 | 25 |
| Kansas | 505 | $13.20 | $10.78 | 7 |
| South Carolina | 482 | $16.01 | $12.59 | 24 |
| Missouri | 362 | $15.55 | $12.59 | 17 |
| Louisiana | 348 | $14.46 | $12.93 | 14 |
| Minnesota | 338 | $17.83 | $13.08 | 13 |
| Guam | 327 | $15.29 | $8.80 | 1 |
| Wisconsin | 268 | $17.13 | $13.17 | 14 |
| Iowa | 266 | $16.45 | $12.75 | 6 |
| Maryland | 198 | $18.15 | $13.23 | 8 |
| Rhode Island | 166 | $18.56 | $12.83 | 6 |
| Oklahoma | 140 | $16.52 | $13.52 | 4 |
| Colorado | 131 | $18.04 | $13.23 | 6 |
| Nebraska | 103 | $14.57 | $12.02 | 3 |
| Mississippi | 63 | $14.91 | $13.53 | 4 |
| West Virginia | 55 | $15.83 | $11.59 | 2 |
| District of Columbia | 43 | $21.06 | $14.09 | 1 |
| Utah | 38 | $16.85 | $13.27 | 2 |
| Nevada | 35 | $17.55 | $12.90 | 1 |
| New Mexico | 26 | $15.80 | $12.93 | 2 |
| Idaho | 26 | $12.11 | $8.54 | 1 |
| South Dakota | 23 | $17.59 | $12.92 | 1 |
| Maine | 21 | $19.04 | $12.97 | 1 |
| Montana | 17 | $17.94 | $14.30 | 1 |
| Delaware | 15 | $12.78 | $9.69 | 1 |
Related codes
- 93296Evaluation of single$21.59
- 93294Evaluation of single$28.57
- 93298Evaluation of cardiac rhythm monitor system$76.45
- 93297Evaluation of implantable heart and blood vessel monitoring system$45.47
- 93280Programming of dual lead pacemaker system$61.84
- 93295Evaluation of single$35.37
- 93229Electrocardiogram (ecg) up to 30 days continuous$1018.21
- 93247Heart rhythm analysis and report of continous external ekg over 8-15 d$299.31
- 93248Heart rhythm review and interpretation of continous external ekg over$24.98
- 93228Electrocardiogram (ecg) up to 30 days continuous$24.32
- 93243Heart rhythm analysis and report of continous external ekg over more t$279.98
- 93244Heart rhythm review$22.39
Billing this code is not the same as earning it
An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.
What doctors are paid →·Look up a clinician →·All procedure codes →
Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.
How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.