Set-up and patient education for remote monitoring of therapy
Medicare pricing data for 2,681 providers across 48 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
Set-up and patient education for remote monitoring of therapy (HCPCS code 98975) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.46, but hospitals typically charge $50.66 — a 2.6x 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 $19.46, your out-of-pocket cost would be approximately $3.89. 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 2.6x more than what Medicare allows for this procedure. Medicare actually pays $15.04 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $22 | $55 | 232 | 5,470 | +14.4% |
| Hawaii | $22 | $55 | 6 | 16 | +10.6% |
| New York | $21 | $55 | 160 | 1,334 | +9.6% |
| Massachusetts | $21 | $45 | 121 | 905 | +8.8% |
| New Jersey | $21 | $81 | 194 | 1,049 | +8.4% |
| Connecticut | $21 | $48 | 35 | 463 | +6.8% |
| Alaska | $21 | $77 | 5 | 92 | +5.7% |
| Maryland | $20 | $61 | 49 | 444 | +2.2% |
| District of Columbia | $20 | $41 | 4 | 83 | +1.2% |
| New Hampshire | $20 | $44 | 4 | 49 | +1.0% |
| Virginia | $20 | $51 | 150 | 990 | +0.5% |
| Michigan | $19 | $29 | 68 | 4,125 | +0.2% |
| Washington | $19 | $43 | 129 | 1,446 | +0.1% |
| Illinois | $19 | $64 | 106 | 913 | -0.6% |
| Colorado | $19 | $36 | 51 | 285 | -2.2% |
| Nevada | $19 | $52 | 25 | 359 | -2.7% |
| Wyoming | $19 | $31 | 14 | 52 | -3.9% |
| Florida | $19 | $44 | 161 | 2,649 | -4.0% |
| Minnesota | $19 | $40 | 45 | 336 | -4.2% |
| Pennsylvania | $19 | $54 | 109 | 562 | -4.5% |
| Delaware | $19 | $62 | 28 | 540 | -4.7% |
| Oregon | $18 | $50 | 59 | 760 | -5.5% |
| Utah | $18 | $25 | 12 | 117 | -7.0% |
| Arizona | $18 | $42 | 97 | 1,457 | -7.9% |
| Texas | $18 | $86 | 175 | 2,423 | -8.1% |
| Missouri | $18 | $40 | 33 | 259 | -8.3% |
| Wisconsin | $18 | $64 | 49 | 319 | -8.9% |
| North Carolina | $18 | $40 | 66 | 757 | -8.9% |
| Idaho | $18 | $46 | 5 | 81 | -9.2% |
| Georgia | $18 | $45 | 63 | 361 | -9.4% |
| Montana | $17 | $35 | 5 | 11 | -10.3% |
| New Mexico | $17 | $53 | 9 | 60 | -10.7% |
| South Dakota | $17 | $92 | 14 | 40 | -12.6% |
| Maine | $17 | $52 | 3 | 14 | -12.6% |
| Kansas | $17 | $42 | 28 | 179 | -12.7% |
| Iowa | $17 | $39 | 27 | 103 | -12.8% |
| Nebraska | $17 | $33 | 19 | 129 | -12.9% |
| South Carolina | $17 | $63 | 64 | 422 | -13.1% |
| Louisiana | $17 | $57 | 37 | 296 | -13.5% |
| Kentucky | $17 | $51 | 12 | 22 | -13.7% |
| Indiana | $17 | $32 | 30 | 390 | -13.9% |
| Tennessee | $17 | $38 | 62 | 539 | -15.2% |
| West Virginia | $17 | $46 | 5 | 15 | -15.2% |
| Oklahoma | $16 | $36 | 48 | 606 | -15.4% |
| Ohio | $16 | $74 | 12 | 29 | -15.9% |
| Alabama | $16 | $64 | 16 | 38 | -16.8% |
| Mississippi | $16 | $61 | 4 | 12 | -17.7% |
| Arkansas | $15 | $51 | 7 | 110 | -24.3% |
⚠️ 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