How can I find out the estimated cost of a medical procedure or service before I receive it?

The cost of a medical procedure or service can vary significantly based on your location, the specific healthcare provider, and your insurance plan. To get an estimate for specific services, especially using CPT codes for accurate comparison, you can utilize tools like Payerprice. Payerprice offers a fee schedule lookup tool where you can search with a CPT code and your specific location to understand typical costs. It's also highly recommended to contact your insurance provider directly, as they can provide an estimate of your out-of-pocket costs based on your individual benefits, deductible, co-pays, and co-insurance.

What is a CPT code, and why is it important for understanding my medical bills?

CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare providers and insurers to universally describe medical, surgical, and diagnostic services. They are crucial for accurate billing and processing insurance claims, ensuring consistency in how services are reported across the healthcare system. Knowing the CPT code for a service you received or plan to receive is important because it allows you to research the typical costs associated with that specific service. You can use these codes with tools like Payerprice to look up fee schedules and understand potential costs in your area, helping you to better interpret your medical bills and make informed decisions.

Why do prices for the same medical service vary so much between different providers or facilities?

Prices for identical medical services can vary widely due to a multitude of factors. These include differences in healthcare provider fees, the geographic location of the facility, the type of facility (e.g., a hospital vs. an independent clinic or ambulatory surgery center), variations in insurance contracts and negotiated rates between providers and payers, and whether the provider is in-network or out-of-network for your specific insurance plan. Additionally, facility fees, professional fees, and bundled vs. unbundled billing practices can contribute to these price discrepancies. Understanding these variables can help you ask more targeted questions when comparing costs.

What should I do if I receive a medical bill that seems incorrect or unusually high?

If you receive a medical bill that you believe is incorrect or unexpectedly high, you have the right to dispute it. First, thoroughly review the itemized bill for any inaccuracies, duplicate charges, or unfamiliar services. Next, contact the billing department of the healthcare provider to request clarification, an explanation of charges, or to point out potential errors. If the issue is related to your insurance coverage, contact your insurance company to understand their processing of the claim and your options for appeal. Keep detailed records of all communications, including dates, names, and what was discussed. To help you assess if a bill is unusually high, you can use resources like Payerprice to research the typical costs for specific CPT codes in your location.

Where can I find resources to help me understand my healthcare costs and navigate the billing process?

Several resources are available to help you understand healthcare costs and navigate the billing process. Your insurance company's Explanation of Benefits (EOB) provides a detailed breakdown of what your insurer paid and your remaining financial responsibility. Your healthcare provider's billing department can offer itemized bills and discuss payment options. For prospective pricing and to research typical costs for specific procedures based on CPT codes and your location, online tools like Payerprice are invaluable. Additionally, patient advocacy groups and state consumer protection agencies can provide guidance and support in resolving complex billing issues.

CPT 93298 Fee Schedule

Last Verified: August 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Rem Interrog Dev Eval Scrms, Interrogation Device Evaluation S Remote Up To 30 Days Subcutaneous Cardiac Rhythm Monitor System Including Analysis Of Recorded Heart Rhythm Data Analysis Review S And Report S By A Physician Or Other Qualified Health Care Professional

Key Fact	Detail
Service Type	Medicine Services and Procedures Cardiovascular Procedures
Common Place of Service	11 - Office 22 - On Campus Outpatient Hospital 49 - Independent Clinic
Common Modifiers	None 26 - Professional component TC - Technical component
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 93298
Medicaid Fee Schedule	View Medicaid rates for 93298

National average reimbursement for CPT 93298 by major payers:

$73.90

$40.41

$49.66

$88.38

Preview provider-level rates for...

For billing codeCPT 93298

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	93298	$139.71	1780678896 - DANIEL GOODMAN	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Internal Medicine Physician (207R00000X)
United	93298	$121.08	1851952675 - ETHAN MYERS	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Family Nurse Practitioner (363LF0000X)
United	93298	$32.50	1598473092 - MONICA DHADUK	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Medical Physician Assistant (363AM0700X)
United	93298	$43.52	1497098792 - CHRISTOPHER POWERS	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Foot & Ankle Surgery Podiatrist (213ES0103X)
United	93298	$40.95	1710146733 - LEV GOLDINER	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Neurology Physician (2084N0400X)
United	93298	$32.50	1982043386 - AILEEN CALLAN	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Family Nurse Practitioner (363LF0000X)
United	93298	$21.11	1649223645 - ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP, ROUND ROCK MEDICAL CENTER	743001674 - (TX) LONE STAR CIRCLE OF CARE	TX	General Acute Care Hospital (282N00000X)
United	93298	$32.50	1861456444 - SCOTT PEPLINSKI	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Diagnostic Radiology Physician (2085R0202X)
United	93298	$43.52	1245473800 - TARYN RIO	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Pediatrics Physician (208000000X)
United	93298	$32.50	1194492538 - RENEE CARNEY	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Family Nurse Practitioner (363LF0000X)
United	93298	$32.50	1871748020 - ELIZABETH COOLEY	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Family Medicine Physician (207Q00000X)
United	93298	$35.50	1497534705 - MICHELLE PALUMBO	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Family Nurse Practitioner (363LF0000X)
United	93298	$40.95	1972938900 - JEFFREY KWASNIEWSKI	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Diagnostic Radiology Physician (2085R0202X)
United	93298	$43.52	1104098631 - HELEN DOLAN	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Family Nurse Practitioner (363LF0000X)
United	93298	$43.52	1730867565 - JULIE KULAWY	200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC	NY	Family Nurse Practitioner (363LF0000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 93298 vs. Other Cardiovascular Procedures Codes

The CPT 93298 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 93298 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
93294-CPT	Low	Rem Interrog Evl Pm Ldls Pm, Interrogation Device Evaluation S Remote Up To 90 Days Single Dual Or Multiple Lead Pacemaker System Or Leadless Pacemaker System With Interim Analysis Review S And Report S By A Physician Or Other Qualified Health Care Professional
93295-CPT	Low	Interrogation Device Evaluation(S) (Remote) Up To90 Days; Single Dual Or Multiple Lead Implantable Defibrillator System With Interim Analysis Review(S) And Report(S) By A Physician Or Other Qualified Health Care Professional (Revised 01/01/15)
93296-CPT	Low	Rem Interrog Evl Pm Ids, Interrogation Device Evaluation S Remote Up To 90 Days Single Dual Or Multiple Lead Pacemaker System Leadless Pacemaker System Or Implantable Defibrillator System Remote Data Acquisition S Receipt Of Transmissions And Technician Review Technical Support And Distribution Of Results
93298-CPT	Low	Rem Interrog Dev Eval Scrms, Interrogation Device Evaluation S Remote Up To 30 Days Subcutaneous Cardiac Rhythm Monitor System Including Analysis Of Recorded Heart Rhythm Data Analysis Review S And Report S By A Physician Or Other Qualified Health Care Professional

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93298. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 93298 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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