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Procedure price report · Electrographic cardiac monitoring

Holter heart monitor up to 48 hours — doctor's reading

CPT 93227the billing code this page is about

Covers only the physician's review, interpretation and report of a heart rhythm recording lasting up to 48 hours.

Hospitals typically charge $60 cash for this outpatient procedure — the median across 728 hospitals that filed a usable cash price; the average of the middle 60% is $70. Most fall between $34 and $149 (20th–80th percentile).

Hospitals
728
States
48
Filings dated
Jan 2024 – 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 728 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
$24$38$60$121$252

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($24 vs $252).

How the prices are spread

$15 – $20: 26 hospitals$15$20 – $28: 34 hospitals$28 – $37: 84 hospitals$28$37 – $51: 111 hospitals$51 – $69: 124 hospitals$51$69 – $93: 76 hospitals$93 – $127: 66 hospitals$93$127 – $172: 60 hospitals$172 – $233: 35 hospitals$172$233 – $316: 41 hospitals$233median $60price bands are equal on a log scale
Hospitals per price band (657 of 728 — the bands cover the 5th to 95th percentile)
FromToHospitals
$15$2026
$20$2834
$28$3784
$37$51111
$51$69124
$69$9376
$93$12766
$127$17260
$172$23335
$233$31641

By state

The median cash price in each state, against the national median of $60.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $47 across 17 hospitalsME$47Vermont: median $68 across 11 hospitalsVT$68New Hampshire: median $53 across 11 hospitalsNH$53Washington: median $64 across 22 hospitalsWA$64Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $54 across 11 hospitalsMT$54North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $55 across 31 hospitalsMN$55Illinois: median $94 across 35 hospitalsIL$94Wisconsin: median $252 across 39 hospitalsWI$252Michigan: median $40 across 40 hospitalsMI$40New York: median $72 across 32 hospitalsNY$72Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $52 across 32 hospitalsOR$52Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $67 across 11 hospitalsSD$67Iowa: median $65 across 43 hospitalsIA$65Indiana: median $48 across 18 hospitalsIN$48Ohio: median $46 across 27 hospitalsOH$46Pennsylvania: median $41 across 23 hospitalsPA$41New Jersey: 1 hospital filed a usable price — fewer than 10, so no figureNJConnecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $63 across 21 hospitalsCA$63Utah: no hospital in the corpus filed a usable priceUTColorado: median $68 across 13 hospitalsCO$68Nebraska: median $55 across 17 hospitalsNE$55Missouri: median $72 across 22 hospitalsMO$72Kentucky: median $48 across 15 hospitalsKY$48West Virginia: median $41 across 19 hospitalsWV$41Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $51 across 22 hospitalsKS$51Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $30 across 15 hospitalsTN$30North Carolina: median $40 across 16 hospitalsNC$40South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $42 across 17 hospitalsOK$42Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $75 across 16 hospitalsGA$75Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $63 across 17 hospitalsTX$63Florida: median $108 across 10 hospitalsFL$108
Cash price by state, most expensive first. National median $60. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI39$252+320%$92 – $410
Florida FL10$108+80%$25 – $112
Illinois IL35$94+56%$48 – $220
Georgia GA16$75+25%$30 – $139
Missouri MO22$72+20%$29 – $112
New York NY32$72+19%$45 – $150
Colorado CO13$68+13%$43 – $97
Vermont VT11$68+13%$48 – $94
South Dakota SD11$67+12%$36 – $123
Iowa IA43$65+9%$51 – $100
Washington WA22$64+6%$38 – $144
Texas TX17$63+6%$20 – $99
California CA21$63+5%$28 – $105
Nebraska NE17$55−9%$45 – $86
Minnesota MN31$55−9%$45 – $257
Montana MT11$54−10%$40 – $157
New Hampshire NH11$53−12%$47 – $104
Oregon OR32$52−14%$33 – $65
Kansas KS22$51−14%$36 – $134
Indiana IN18$48−21%$31 – $171
Kentucky KY15$48−21%$28 – $137
Maine ME17$47−22%$23 – $115
Ohio OH27$46−23%$30 – $93
Oklahoma OK17$42−29%$42 – $94
Pennsylvania PA23$41−31%$12 – $87
West Virginia WV19$41−32%$20 – $125
Michigan MI40$40−33%$34 – $146
North Carolina NC16$40−34%$39 – $126
Tennessee TN15$30−50%$24 – $174
Louisiana LA9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
New Jersey NJ1not 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 $60.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care405$53$30 – $128
Children’s10fewer than 20 hospitals
Critical access312$69$40 – $158
Ownership
For-profit40$62$31 – $174
Government189$74$38 – $155
Non-profit498$55$33 – $134
System affiliation
Part of a system504$55$31 – $134
Independent224$67$39 – $158

Cash price vs list price

Median list price (chargemaster)$87
Median cash price$60
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

427 hospitals filed a usable inpatient cash price for this code. The median is $60 and the average of the middle 60% is $71; most fall between $36 and $151.

Cash price percentiles, inpatient, across 427 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
$28$40$60$128$252

The most expensive tenth of hospitals charges at least 9.1× what the cheapest tenth charges ($28 vs $252).

Of the 478 hospitals that filed this code inpatient, 427 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 32 a list price only.

How complete is this

728 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 816 hospitals that filed this code at all gave us
Usable cash price — counted728
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
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 — excluded53
Hospitals that filed this code816

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Hrs Rvw&Interpj Phys/Qhp.

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 — doctor's reading (CPT 93227) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-93227-holter-heart-monitor-up-to-48-hours-doctor-s-reading