Therapy procedure for a range of mental processes, initial 15 minutes
Medicare pricing data for 3,066 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
Therapy procedure for a range of mental processes, initial 15 minutes (HCPCS code 97129) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $22.62, but hospitals typically charge $48.79 — a 2.2x 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 $22.62, your out-of-pocket cost would be approximately $4.52. 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 2.2x more than what Medicare allows for this procedure. Medicare actually pays $17.81 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $25 | $44 | 8 | 233 | +10.9% |
| New York | $24 | $59 | 221 | 24,294 | +8.2% |
| District of Columbia | $24 | $45 | 8 | 97 | +7.2% |
| New Jersey | $24 | $54 | 215 | 25,739 | +4.8% |
| New Hampshire | $23 | $61 | 13 | 1,373 | +3.0% |
| Maryland | $23 | $42 | 74 | 6,756 | +2.4% |
| Rhode Island | $23 | $45 | 8 | 752 | +2.1% |
| Connecticut | $23 | $52 | 14 | 1,050 | +1.9% |
| Minnesota | $23 | $45 | 47 | 1,251 | +1.6% |
| Delaware | $23 | $45 | 15 | 2,681 | +1.5% |
| California | $23 | $50 | 281 | 20,147 | +1.4% |
| Massachusetts | $23 | $49 | 32 | 2,568 | +0.9% |
| Washington | $23 | $41 | 64 | 2,989 | +0.8% |
| Pennsylvania | $23 | $43 | 129 | 19,861 | +0.7% |
| Hawaii | $23 | $46 | 8 | 1,299 | -0.1% |
| Virginia | $23 | $47 | 87 | 6,381 | -0.2% |
| Illinois | $22 | $43 | 125 | 10,289 | -0.9% |
| Florida | $22 | $52 | 220 | 19,685 | -0.9% |
| Nevada | $22 | $58 | 36 | 1,802 | -1.1% |
| Michigan | $22 | $63 | 63 | 2,519 | -1.6% |
| North Dakota | $22 | $56 | 25 | 559 | -1.7% |
| Texas | $22 | $52 | 164 | 12,425 | -1.8% |
| Oregon | $22 | $35 | 38 | 641 | -1.8% |
| Georgia | $22 | $45 | 82 | 6,912 | -1.9% |
| Montana | $22 | $55 | 16 | 437 | -2.1% |
| Colorado | $22 | $42 | 108 | 3,987 | -2.2% |
| Wyoming | $22 | $48 | 16 | 778 | -2.8% |
| Maine | $22 | $42 | 25 | 1,132 | -3.0% |
| Nebraska | $22 | $46 | 20 | 500 | -3.1% |
| Wisconsin | $22 | $48 | 54 | 4,438 | -3.1% |
| Ohio | $22 | $46 | 58 | 10,828 | -3.2% |
| Louisiana | $22 | $53 | 29 | 1,894 | -3.4% |
| New Mexico | $22 | $34 | 16 | 459 | -3.4% |
| South Dakota | $22 | $46 | 12 | 629 | -3.5% |
| South Carolina | $22 | $44 | 67 | 10,995 | -3.8% |
| Kentucky | $22 | $47 | 39 | 2,821 | -3.9% |
| Oklahoma | $22 | $48 | 25 | 3,656 | -4.0% |
| West Virginia | $22 | $31 | 20 | 1,252 | -4.0% |
| Kansas | $22 | $43 | 41 | 3,801 | -4.2% |
| Indiana | $22 | $46 | 61 | 6,755 | -4.2% |
| North Carolina | $22 | $52 | 87 | 2,792 | -4.2% |
| Tennessee | $22 | $42 | 81 | 4,448 | -4.5% |
| Iowa | $22 | $42 | 38 | 2,803 | -4.5% |
| Utah | $22 | $41 | 36 | 913 | -4.6% |
| Missouri | $22 | $51 | 66 | 6,916 | -4.6% |
| Alabama | $21 | $41 | 23 | 1,218 | -5.1% |
| Arizona | $21 | $45 | 66 | 3,936 | -5.2% |
| Mississippi | $21 | $43 | 33 | 3,789 | -5.3% |
| Idaho | $21 | $26 | 14 | 764 | -7.0% |
| Arkansas | $21 | $77 | 20 | 489 | -7.5% |
⚠️ 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