How much does Medicare pay for CPT 93227?

Medicare allowed an average of $17.66 per service and paid $13.07 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $118.09, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93227?

Electrocardiogram (ecg) 2-day continuous with review by health care professional. It was billed 117,907 times to 114,220 Medicare beneficiaries by 3,180 providers in 2024.

Does 93227 pay differently in an office than a hospital?

Yes. The allowed amount averaged $17.80 in an office setting and $17.57 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 93227 most?

Cardiology, with 70,967 services from 2,060 clinicians. Next are Clinical Cardiac Electrophysiology, Interventional Cardiology, Internal Medicine.

CPT 93227

Electrocardiogram (ecg) 2-day continuous with review by health care professional

$17.66Medicare-allowed amount per service, averaged across 117,907 services

Providers submitted

$118.09

Asking price, not received

Medicare allowed

$17.66

The fee schedule figure

Medicare paid

$13.07

Balance is patient coinsurance

Providers submitted an average of $118.09 for this code and Medicare allowed $17.66 — 6.7× 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 $13.07 (74%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $17.80
Hospital / facility: $17.57

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 45,548 services were billed in an office setting and 72,359 in a facility.

Services: 117,907
Beneficiaries: 114,220
Providers billing it: 3,180
Total allowed: $2,082,238

What Medicare pays for CPT 93227

Across 117,907 services billed by 3,180 providers to 114,220 beneficiaries, Medicare allowed an average of $17.66 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 93227

Specialty	Services	Beneficiaries	Avg allowed	Providers
Cardiology	70,967	69,053	$17.74	2,060
Clinical Cardiac Electrophysiology	24,520	23,809	$17.63	447
Interventional Cardiology	10,787	10,415	$17.44	347
Internal Medicine	7,471	7,062	$17.64	228
Nurse Practitioner	1,241	1,084	$15.39	24
Advanced Heart Failure and Transplant Cardiology	937	917	$17.93	20
Family Practice	421	383	$17.60	14
Physician Assistant	393	368	$14.89	7
Diagnostic Radiology	249	233	$19.17	1
Hospitalist	209	208	$17.38	4
Nuclear Medicine	124	123	$18.31	6
Emergency Medicine	109	107	$17.94	2
Pediatric Medicine	94	84	$18.80	3
Neurology	68	61	$18.30	3
Geriatric Medicine	56	54	$18.58	2

93227 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
Florida	8,320	$17.68	$13.16	189
Pennsylvania	8,219	$17.46	$12.92	210
New York	7,828	$18.42	$13.06	215
Ohio	6,913	$17.27	$13.09	181
California	6,511	$18.40	$13.25	136
Illinois	6,269	$17.84	$13.25	170
Minnesota	5,339	$17.88	$12.78	78
Massachusetts	3,826	$18.30	$13.18	112
Wisconsin	3,716	$17.40	$12.79	107
Indiana	3,686	$17.14	$12.86	120
Iowa	3,625	$17.02	$12.78	72
Michigan	3,556	$17.59	$12.96	124
Missouri	3,521	$17.20	$12.97	97
Texas	3,459	$17.33	$13.43	107
Kentucky	3,021	$17.50	$13.07	93
New Jersey	2,862	$18.86	$13.19	100
Nebraska	2,858	$16.98	$13.12	50
Virginia	2,810	$17.67	$13.01	79
South Dakota	2,356	$17.44	$12.75	28
Georgia	2,205	$17.50	$13.36	85
Tennessee	2,095	$17.36	$12.72	57
Connecticut	2,058	$18.76	$12.83	72
Washington	1,995	$18.39	$13.06	62
Arizona	1,677	$17.41	$12.81	33
Kansas	1,622	$16.59	$12.93	35
Arkansas	1,619	$16.77	$13.08	37
North Carolina	1,572	$17.28	$12.85	68
Oklahoma	1,570	$17.16	$12.95	51
Louisiana	1,443	$17.05	$13.39	59
Vermont	1,178	$17.43	$12.72	16
Alabama	1,103	$16.51	$13.32	34
Colorado	1,041	$18.10	$13.34	36
Oregon	969	$17.83	$12.35	28
South Carolina	937	$17.14	$13.08	26
New Hampshire	832	$17.78	$12.82	27
Maine	730	$17.61	$12.34	29
North Dakota	606	$17.50	$12.72	14
Delaware	506	$17.51	$13.21	15
Utah	444	$17.26	$12.99	22
Maryland	435	$17.82	$13.62	17
Rhode Island	433	$18.05	$12.94	19
Mississippi	402	$16.86	$13.47	17
Montana	348	$18.15	$12.25	14
Wyoming	309	$17.50	$13.03	4
West Virginia	272	$16.65	$13.39	10
Guam	249	$19.17	$11.41	1
Alaska	188	$21.38	$11.77	5
Puerto Rico	124	$17.61	$13.03	8
New Mexico	93	$17.60	$13.16	4
District of Columbia	49	$18.78	$13.29	1
Idaho	42	$17.21	$12.13	3
Nevada	42	$17.56	$12.43	2
Hawaii	24	$17.66	$11.29	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.