How Much Does Physician/qualified Health Professional Outpatient Car Rhab with ECG Cost?
Also known as: Phys/qhp op car rhab w/ecg (CPT 93798)
A cardiac rehabilitation session involving monitored exercise and education after a heart event.
Physician/qualified Health Professional Outpatient Car Rhab with ECG (CPT 93798) costs $12 at Medicare rates.
Patient Guide: Physician/qualified Health Professional Outpatient Car Rhab with ECG
What you need to know before your appointment
What to Expect
You exercise (walking, cycling, light weights) while your heart rate, blood pressure, and rhythm are continuously monitored. You also receive education about heart-healthy diet, medications, and lifestyle.
How Long Does It Take?
60 minutes per session; typically 3 times per week for 12 weeks (36 sessions)
Common Reasons Doctors Order This
After heart attack, after coronary stent, after heart surgery, heart failure, after cardiac valve surgery
How to Prepare
Wear comfortable clothes and walking shoes. Bring your medications. Eat a light meal 2 hours before. Do not exercise on your own until cleared.
Procedures Commonly Done Together
These procedures are frequently performed alongside Phys/qhp op car rhab w/ecg
How to Reduce Your Cost for Phys/qhp op car rhab w/ecg
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
For this procedure, the office rate ($26) differs from the facility rate ($12). Ask if it can be done in an office setting.
- 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.
Payment = Total RVU (0.78) x CF ($33.40) = $26
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Phys/qhp op car rhab w/ecg cost?
The Medicare facility rate for Phys/qhp op car rhab w/ecg is $12. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Phys/qhp op car rhab w/ecg cost without insurance?
Without insurance, the cost of Phys/qhp op car rhab w/ecg 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 Phys/qhp op car rhab w/ecg?
Most commercial health insurance plans and Medicare cover Phys/qhp op car rhab w/ecg 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.