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Procedure price report · Electrographic cardiac monitoring

Holter heart monitor up to 48 hours — analysis and report

CPT 93226the billing code this page is about

Covers only the technical scanning analysis of the recorded heart rhythm data and the resulting report, not the recording or the doctor's reading.

Hospitals typically charge $427 cash for this outpatient procedure — the median across 2,483 hospitals that filed a usable cash price; the average of the middle 60% is $458. Most fall between $193 and $871 (20th–80th percentile).

Hospitals
2,483
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,483 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$112$224$427$751$1,246

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($112 vs $1,246).

How the prices are spread

$72 – $97: 87 hospitals$72$97 – $132: 104 hospitals$132 – $179: 151 hospitals$132$179 – $243: 233 hospitals$243 – $329: 241 hospitals$243$329 – $446: 344 hospitals$446 – $605: 380 hospitals$446$605 – $820: 283 hospitals$820 – $1,112: 239 hospitals$820$1,112 – $1,507: 181 hospitals$1,112median $427price bands are equal on a log scale
Hospitals per price band (2,243 of 2,483 — the bands cover the 5th to 95th percentile)
FromToHospitals
$72$9787
$97$132104
$132$179151
$179$243233
$243$329241
$329$446344
$446$605380
$605$820283
$820$1,112239
$1,112$1,507181

Against Medicare

Medicare pays (OPPS 2026, national rate)$60
Median cash price$427
Cash as a multiple of Medicare7.1×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $427.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $232 across 19 hospitalsME$232Vermont: median $468 across 12 hospitalsVT$468New Hampshire: median $322 across 18 hospitalsNH$322Washington: median $351 across 47 hospitalsWA$351Idaho: median $296 across 18 hospitalsID$296Montana: median $209 across 11 hospitalsMT$209North Dakota: median $197 across 21 hospitalsND$197Minnesota: median $366 across 78 hospitalsMN$366Illinois: median $549 across 99 hospitalsIL$549Wisconsin: median $535 across 86 hospitalsWI$535Michigan: median $401 across 87 hospitalsMI$401New York: median $179 across 86 hospitalsNY$179Massachusetts: median $525 across 34 hospitalsMA$525Oregon: median $468 across 31 hospitalsOR$468Nevada: median $272 across 11 hospitalsNV$272Wyoming: median $450 across 15 hospitalsWY$450South Dakota: median $677 across 35 hospitalsSD$677Iowa: median $466 across 73 hospitalsIA$466Indiana: median $436 across 78 hospitalsIN$436Ohio: median $463 across 108 hospitalsOH$463Pennsylvania: median $333 across 116 hospitalsPA$333New Jersey: median $257 across 52 hospitalsNJ$257Connecticut: median $311 across 12 hospitalsCT$311Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $731 across 154 hospitalsCA$731Utah: median $334 across 35 hospitalsUT$334Colorado: median $597 across 52 hospitalsCO$597Nebraska: median $637 across 59 hospitalsNE$637Missouri: median $510 across 64 hospitalsMO$510Kentucky: median $402 across 48 hospitalsKY$402West Virginia: median $391 across 17 hospitalsWV$391Virginia: median $301 across 57 hospitalsVA$301Maryland: median $320 across 21 hospitalsMD$320Delaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $370 across 35 hospitalsAZ$370New Mexico: median $468 across 22 hospitalsNM$468Kansas: median $255 across 48 hospitalsKS$255Arkansas: median $191 across 19 hospitalsAR$191Tennessee: median $248 across 63 hospitalsTN$248North Carolina: median $458 across 51 hospitalsNC$458South Carolina: median $620 across 38 hospitalsSC$620Oklahoma: median $272 across 41 hospitalsOK$272Louisiana: median $188 across 45 hospitalsLA$188Mississippi: median $209 across 42 hospitalsMS$209Alabama: median $274 across 27 hospitalsAL$274Georgia: median $403 across 82 hospitalsGA$403Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $764 across 180 hospitalsTX$764Florida: median $721 across 109 hospitalsFL$721
Cash price by state, most expensive first. National median $427. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Texas TX180$764+79%$385 – $1,473
California CA154$731+71%$297 – $947
Florida FL109$721+69%$391 – $1,551
South Dakota SD35$677+59%$472 – $1,240
Nebraska NE59$637+49%$445 – $816
South Carolina SC38$620+45%$162 – $876
Colorado CO52$597+40%$267 – $799
Illinois IL99$549+29%$235 – $1,126
Wisconsin WI86$535+25%$397 – $683
Massachusetts MA34$525+23%$275 – $793
Missouri MO64$510+20%$289 – $1,037
New Mexico NM22$468+10%$234 – $916
Vermont VT12$468+10%$149 – $864
Oregon OR31$468+10%$249 – $606
Iowa IA73$466+9%$252 – $597
Ohio OH108$463+8%$243 – $720
North Carolina NC51$458+7%$233 – $743
Wyoming WY15$450+5%$242 – $589
Indiana IN78$436+2%$266 – $628
Georgia GA82$403−6%$213 – $850
Kentucky KY48$402−6%$239 – $1,101
Michigan MI87$401−6%$140 – $779
West Virginia WV17$391−9%$238 – $497
Arizona AZ35$370−13%$154 – $971
Minnesota MN78$366−14%$179 – $499
Washington WA47$351−18%$168 – $511
Utah UT35$334−22%$204 – $417
Pennsylvania PA116$333−22%$154 – $966
New Hampshire NH18$322−25%$218 – $1,164
Maryland MD21$320−25%$116 – $547
Connecticut CT12$311−27%$191 – $474
Virginia VA57$301−30%$243 – $597
Idaho ID18$296−31%$247 – $402
Alabama AL27$274−36%$120 – $1,223
Oklahoma OK41$272−36%$139 – $431
Nevada NV11$272−36%$144 – $447
New Jersey NJ52$257−40%$70 – $513
Kansas KS48$255−40%$107 – $519
Tennessee TN63$248−42%$151 – $644
Maine ME19$232−46%$87 – $480
Montana MT11$209−51%$93 – $310
Mississippi MS42$209−51%$128 – $265
North Dakota ND21$197−54%$118 – $381
Arkansas AR19$191−55%$104 – $341
Louisiana LA45$188−56%$77 – $346
New York NY86$179−58%$74 – $466
Hawaii HI9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $427.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,805$442$191 – $901
Children’s45$677$320 – $1,295
Critical access628$400$194 – $671
Ownership
For-profit299$628$228 – $1,723
Government417$383$172 – $689
Non-profit1,762$421$193 – $833
System affiliation
Part of a system2,076$453$203 – $876
Independent407$351$153 – $690

Cash price vs list price

Median list price (chargemaster)$777
Median cash price$427
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,761 hospitals filed a usable inpatient cash price for this code. The median is $463 and the average of the middle 60% is $491; most fall between $213 and $874.

Cash price percentiles, inpatient, across 1,761 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$137$248$463$766$1,213

The most expensive tenth of hospitals charges at least 8.8× what the cheapest tenth charges ($137 vs $1,213).

Of the 1,859 hospitals that filed this code inpatient, 1,761 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 74 a list price only.

How complete is this

2,483 of the 3,956 hospitals with a price file in our corpus (63%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,601 hospitals that filed this code at all gave us
Usable cash price — counted2,483
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded79
Hospitals that filed this code2,601

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Electrographic cardiac monitoring family.

Hospitals file this code under descriptions such as XTRNL ECG REC<48 HR SCAN A/R.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Holter heart monitor up to 48 hours — analysis and report (CPT 93226) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-93226-holter-heart-monitor-up-to-48-hours-analysis-and-report