CPT 93351 Cardiovascular

How Much Does Stress Tte Complete Cost?

Also known as: Stress tte complete (CPT 93351)

A stress echocardiogram, combining a heart ultrasound with exercise or medication-induced stress to evaluate heart function.

Stress Tte Complete (CPT 93351) costs $233 at Medicare rates.

Medicare (Facility)
$233
CMS PFS 2026 national rate

Patient Guide: Stress Tte Complete

What you need to know before your appointment

What to Expect

A heart ultrasound is performed at rest, then you exercise on a treadmill (or medication is given to simulate exercise). Immediately after peak exercise, another heart ultrasound is performed to compare heart function at rest and under stress.

How Long Does It Take?

60-90 minutes

Common Reasons Doctors Order This

Chest pain evaluation, coronary artery disease assessment, heart valve evaluation under stress, exercise capacity with heart imaging

How to Prepare

Fast for 3-4 hours. Wear walking shoes and loose clothing. Avoid caffeine for 24 hours. Ask about holding heart medications before the test.

Procedures Commonly Done Together

These procedures are frequently performed alongside Stress tte complete

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How to Reduce Your Cost for Stress tte complete

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

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 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.

1.71
Work RVU
5.18
Practice Expense RVU
0.10
Malpractice RVU
6.99
Total RVU

Payment = Total RVU (6.99) x CF ($33.40) = $233

Frequently Asked Questions

How much does Stress tte complete cost?

The Medicare facility rate for Stress tte complete is $233. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Stress tte complete cost without insurance?

Without insurance, the cost of Stress tte complete 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 Stress tte complete?

Most commercial health insurance plans and Medicare cover Stress tte complete 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.

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