Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment
Medicare pricing data for 4,459 providers across 50 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment (HCPCS code 95250) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $149.76, but hospitals typically charge $337.39 — a 2.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $149.76, your out-of-pocket cost would be approximately $29.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.3x more than what Medicare allows for this procedure. Medicare actually pays $114.19 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $174 | $389 | 371 | 5,564 | +16.0% |
| California | $171 | $339 | 301 | 2,912 | +13.9% |
| District of Columbia | $169 | $364 | 6 | 33 | +13.0% |
| New Jersey | $167 | $322 | 219 | 3,450 | +11.3% |
| Hawaii | $164 | $335 | 4 | 12 | +9.3% |
| Connecticut | $159 | $495 | 72 | 401 | +6.4% |
| Maryland | $159 | $344 | 92 | 636 | +6.1% |
| Massachusetts | $158 | $453 | 100 | 742 | +5.4% |
| Rhode Island | $153 | $330 | 21 | 62 | +2.1% |
| Colorado | $152 | $325 | 67 | 240 | +1.8% |
| Washington | $150 | $391 | 122 | 451 | -0.0% |
| Alaska | $149 | $451 | 10 | 44 | -0.6% |
| Puerto Rico | $147 | $225 | 13 | 72 | -1.7% |
| Delaware | $147 | $286 | 19 | 153 | -1.7% |
| New Hampshire | $147 | $303 | 15 | 196 | -2.0% |
| Minnesota | $147 | $499 | 192 | 580 | -2.1% |
| Illinois | $146 | $388 | 216 | 1,488 | -2.7% |
| Wyoming | $145 | $349 | 10 | 54 | -3.1% |
| Montana | $145 | $358 | 15 | 151 | -3.1% |
| Pennsylvania | $145 | $331 | 166 | 861 | -3.4% |
| Nevada | $144 | $306 | 32 | 341 | -4.1% |
| Virginia | $143 | $341 | 76 | 421 | -4.8% |
| North Dakota | $142 | $329 | 14 | 81 | -5.5% |
| Florida | $141 | $273 | 289 | 3,269 | -5.9% |
| South Dakota | $141 | $433 | 4 | 19 | -6.1% |
| Oregon | $141 | $421 | 54 | 282 | -6.1% |
| Texas | $140 | $338 | 361 | 3,069 | -6.5% |
| Missouri | $139 | $372 | 44 | 195 | -7.4% |
| Michigan | $138 | $285 | 150 | 1,307 | -7.6% |
| Wisconsin | $138 | $907 | 100 | 242 | -8.2% |
| Arizona | $137 | $243 | 99 | 770 | -8.2% |
| Mississippi | $135 | $154 | 20 | 1,170 | -10.1% |
| North Carolina | $134 | $352 | 200 | 955 | -10.7% |
| West Virginia | $133 | $235 | 12 | 177 | -11.2% |
| Nebraska | $132 | $325 | 27 | 95 | -11.6% |
| Georgia | $132 | $300 | 152 | 944 | -11.7% |
| Utah | $132 | $281 | 36 | 100 | -12.1% |
| Kansas | $131 | $301 | 47 | 198 | -12.3% |
| South Carolina | $131 | $349 | 117 | 1,000 | -12.3% |
| New Mexico | $131 | $397 | 17 | 137 | -12.4% |
| Ohio | $130 | $292 | 99 | 427 | -13.0% |
| Indiana | $130 | $349 | 77 | 768 | -13.1% |
| Idaho | $130 | $340 | 10 | 136 | -13.5% |
| Oklahoma | $129 | $322 | 54 | 255 | -14.0% |
| Tennessee | $128 | $290 | 84 | 511 | -14.3% |
| Iowa | $127 | $347 | 52 | 179 | -15.0% |
| Louisiana | $127 | $268 | 41 | 233 | -15.0% |
| Arkansas | $123 | $277 | 34 | 114 | -18.2% |
| Kentucky | $122 | $255 | 39 | 188 | -18.4% |
| Alabama | $120 | $264 | 82 | 581 | -19.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber