An EKG costs $20 to $154 per test without insurance in 2026
An EKG costs $20 to $154 per test without insurance in 2026. MDsave lists an in-office EKG at $20 to $145, with an MDsave average of $32. CareRoute says cash pay runs $20 to $50, and a hospital may add a facility fee of $50 to $200 or more. ThePricer lists a hospital median of $99. Where you get the test matters most.
What price guides say
We checked 3 price guides and read every number on their pages on October 7, 2026. They do not all measure the same thing, so read each line for what it counts.
| Source | What it found |
|---|---|
| MDsave | MDsave lists an in-office EKG at $20 to $145, with an MDsave national average of $32 and an estimated national average of $105. |
| CareRoute | CareRoute lists the Medicare rate at $15.36, the average provider charge at $67.91, cash pay at $20 to $50, and a hospital facility fee of often $50 to $200 or more. |
| ThePricer | ThePricer lists a general range of $30 to $150, a hospital median of $99, a hospital middle half of $43 to $154, and one clinic visit with an EKG at $200. |
EKG prices by setting
| Setting or price type | Cost without insurance | Source |
|---|---|---|
| In-office EKG, MDsave average | $32 | MDsave |
| In-office EKG, MDsave range | $20 to $145 | MDsave |
| Estimated national average | $105 | MDsave |
| Cash pay range | $20 to $50 | CareRoute |
| Average provider charge | $67.91 | CareRoute |
| Hospital median | $99 | ThePricer |
| Hospital, middle half of prices | $43 to $154 | ThePricer |
| Clinic visit plus EKG | $200 ($125 visit, $75 EKG) | ThePricer |
Every number in this table was read on one of the source pages listed at the bottom of this page.
What pushes the price up
| What | Why it matters |
|---|---|
| Place | An office usually costs less than a hospital. ThePricer lists a hospital median of $99 and a middle half of $43 to $154. |
| Facility fee | A hospital may add a fee on top of the test. CareRoute says hospitals often add $50 to $200 or more. |
| Cash or insurance | Cash prices can be low. CareRoute lists a cash pay range of $20 to $50, and Medicare pays $15.36 for the test. |
| Bundled visit | Some clinics charge a visit and a test together. ThePricer lists one clinic at $200, split into a $125 visit and a $75 EKG. |
| Where you book | Prices on a booking site and at a hospital can differ a lot. MDsave lists a $32 average and an estimated national average of $105. |
What the price includes
The price normally covers the test itself, which records your heartbeat using sticky pads on your chest, arms, and legs. A doctor's reading may be in the price or billed on its own. A hospital may add a facility fee. A visit with the doctor, a heart ultrasound, or a stress test costs extra. It does not include tax or extras the provider adds on the day.
Does insurance cover it
Most health plans cover an EKG when a doctor orders it for a reason, such as chest pain. What you pay depends on your deductible, your copay or coinsurance, and whether the office is in your network. CareRoute says that once a deductible is met you often pay $0 to $25 on a copay plan, or $4 to $14 on a coinsurance plan. Medicare Part B pays 80 percent of its approved amount, and a hospital may add its own copay. If you have no plan, the cash prices on this page are the best place to start.
When a doctor orders it
A doctor may order an EKG when you have chest pain, a racing or skipping heartbeat, dizziness, or trouble breathing. It may also be done before surgery, or as a check if you have heart disease. The test shows the rhythm of your heart. Call 911 for chest pain that is sudden or severe instead of waiting for an appointment.
How to judge your quote
- Is the price for the test only, or for the test and the doctor's reading?
- Is the test done in an office or at a hospital?
- Does the quote include a facility fee?
- Is the price a cash price you can get in writing?
- Compare the total with the range above: $20 to $154 per test for most people in 2026.
Ways to pay less
- Ask for the cash price before the test, and ask whether the doctor's reading is included.
- Ask for an in-office EKG when your doctor says it is safe. MDsave lists in-office EKGs at $20 to $145.
- Compare a booking site with your local clinic. MDsave lists an average of $32, while ThePricer lists a hospital median of $99.
- Ask if a hospital adds a facility fee. CareRoute says that fee can be $50 to $200 or more on top of the test.
- Ask for a bill with each item listed, and check that the test was billed only once.
How we got these numbers
The range on this page comes from MDsave, CareRoute and ThePricer. We opened each source page and read every number on it on October 7, 2026. Where the sources disagree, the table above shows each one so you can see the spread. These are planning ranges, not quotes. The written price you are given is the real price.
Common questions
How much is an EKG without insurance?
MDsave lists $20 to $145 for an in-office EKG. CareRoute says cash pay runs $20 to $50.
Why does an EKG cost more at a hospital?
Hospitals may add a facility fee. CareRoute says it is often $50 to $200 or more. ThePricer lists a hospital median of $99.
What does Medicare pay for an EKG?
CareRoute lists the Medicare rate at $15.36 and a Part B patient cost of $3.07. ThePricer says Medicare patients pay 20 percent of the approved amount after the deductible.
Can I get an EKG and a visit together?
Yes. ThePricer lists one clinic at $200 for a $125 visit and a $75 EKG. Ask if the visit and the test are billed as one.
What will I pay with private insurance?
ThePricer says there is no national range, since it depends on your deductible, copay, coinsurance, and network. CareRoute says you often pay $0 to $25 on copay plans and $4 to $14 on coinsurance plans once the deductible is met.