CPT 93228 Cardiovascular

How Much Does Heart Monitor - External (Up to 30 Days) Cost?

Also known as: Remote 30 day ecg rev/report (CPT 93228)

A wearable heart monitor that records your heart rhythm over days to weeks to catch intermittent problems.

Heart Monitor - External (Up to 30 Days) (CPT 93228) costs $25 at Medicare rates.

Medicare (Facility)
$25
CMS PFS 2026 national rate

Patient Guide: Heart Monitor - External (Up to 30 Days)

What you need to know before your appointment

What to Expect

Small patches and a recording device are attached to your chest. You wear it continuously while going about normal activities. You press a button when you feel symptoms.

How Long Does It Take?

Worn for 7-30 days

Common Reasons Doctors Order This

Heart palpitations, fainting spells, irregular heartbeat, dizziness, stroke risk assessment

How to Prepare

Keep the device dry. Keep a symptom diary noting when you feel something unusual. Follow all wearing instructions.

Procedures Commonly Done Together

These procedures are frequently performed alongside Remote 30 day ecg rev/report

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How to Reduce Your Cost for Remote 30 day ecg rev/report

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.47
Work RVU
0.25
Practice Expense RVU
0.03
Malpractice RVU
0.75
Total RVU

Payment = Total RVU (0.75) x CF ($33.40) = $25

Frequently Asked Questions

How much does Remote 30 day ecg rev/report cost?

The Medicare facility rate for Remote 30 day ecg rev/report is $25. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Remote 30 day ecg rev/report cost without insurance?

Without insurance, the cost of Remote 30 day ecg rev/report can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Remote 30 day ecg rev/report?

Most commercial health insurance plans and Medicare cover Remote 30 day ecg rev/report when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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