Therapy procedure reassessment for nutrition management, each 15 minutes
Medicare pricing data for 4,063 providers across 52 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 reassessment for nutrition management, each 15 minutes (HCPCS code 97803) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $27.09, but hospitals typically charge $68.15 — a 2.5x 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 $27.09, your out-of-pocket cost would be approximately $5.42. 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 2.5x more than what Medicare allows for this procedure. Medicare actually pays $27.09 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $31 | $106 | 21 | 368 | +14.7% |
| California | $29 | $71 | 307 | 17,034 | +8.6% |
| New York | $29 | $85 | 315 | 20,145 | +8.5% |
| New Jersey | $29 | $67 | 190 | 7,695 | +7.2% |
| District of Columbia | $29 | $65 | 14 | 786 | +5.3% |
| Maryland | $28 | $64 | 104 | 6,384 | +4.6% |
| Connecticut | $28 | $69 | 51 | 1,614 | +4.2% |
| Massachusetts | $28 | $84 | 161 | 8,381 | +3.9% |
| Rhode Island | $27 | $56 | 48 | 1,597 | +1.3% |
| Illinois | $27 | $59 | 191 | 17,080 | +0.9% |
| Washington | $27 | $77 | 125 | 3,941 | +0.0% |
| Montana | $27 | $38 | 10 | 468 | -1.1% |
| Colorado | $27 | $60 | 45 | 1,126 | -1.1% |
| Wyoming | $27 | $68 | 11 | 424 | -1.4% |
| Puerto Rico | $27 | $35 | 36 | 264 | -1.9% |
| Virginia | $27 | $53 | 79 | 3,020 | -2.0% |
| Nevada | $27 | $60 | 47 | 3,005 | -2.1% |
| South Dakota | $27 | $67 | 3 | 160 | -2.1% |
| Florida | $26 | $55 | 143 | 7,338 | -2.3% |
| New Hampshire | $26 | $80 | 30 | 750 | -2.4% |
| Minnesota | $26 | $107 | 150 | 3,186 | -2.5% |
| Pennsylvania | $26 | $57 | 236 | 9,041 | -3.8% |
| Oregon | $26 | $85 | 69 | 1,305 | -3.9% |
| Arizona | $26 | $55 | 125 | 5,957 | -3.9% |
| Delaware | $26 | $58 | 19 | 1,199 | -4.7% |
| North Carolina | $26 | $74 | 244 | 9,829 | -4.8% |
| Texas | $26 | $59 | 243 | 11,895 | -5.0% |
| Michigan | $26 | $63 | 55 | 1,760 | -5.1% |
| Indiana | $26 | $55 | 62 | 1,181 | -5.2% |
| Missouri | $26 | $61 | 42 | 1,253 | -5.2% |
| Iowa | $26 | $104 | 7 | 212 | -5.6% |
| Kansas | $26 | $51 | 32 | 1,544 | -5.6% |
| Georgia | $25 | $67 | 55 | 1,227 | -5.9% |
| New Mexico | $25 | $65 | 14 | 986 | -6.1% |
| Wisconsin | $25 | $96 | 107 | 4,179 | -6.1% |
| South Carolina | $25 | $54 | 30 | 1,509 | -6.2% |
| Ohio | $25 | $61 | 162 | 3,109 | -7.2% |
| Kentucky | $25 | $58 | 29 | 1,085 | -7.8% |
| Oklahoma | $25 | $53 | 50 | 2,305 | -8.1% |
| Tennessee | $25 | $77 | 54 | 2,061 | -8.1% |
| Vermont | $25 | $59 | 14 | 207 | -8.1% |
| Hawaii | $25 | $63 | 37 | 3,012 | -8.2% |
| Alabama | $25 | $54 | 32 | 838 | -8.2% |
| Utah | $25 | $83 | 29 | 394 | -8.7% |
| Nebraska | $25 | $62 | 27 | 766 | -9.0% |
| Louisiana | $25 | $51 | 33 | 1,237 | -9.5% |
| Mississippi | $24 | $63 | 10 | 497 | -9.6% |
| Maine | $24 | $51 | 19 | 474 | -10.1% |
| North Dakota | $24 | $99 | 19 | 868 | -10.3% |
| Arkansas | $24 | $57 | 32 | 492 | -13.0% |
| Idaho | $24 | $53 | 46 | 1,544 | -13.3% |
| West Virginia | $22 | $51 | 7 | 122 | -18.6% |
⚠️ 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