98976

Device supply with scheduled recording and transmission for remote monitoring of respiratory system, per 30 days

Medicare pricing data for 159 providers across 14 states

🤖AI Overview

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

Device supply with scheduled recording and transmission for remote monitoring of respiratory system, per 30 days (HCPCS code 98976) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $56.36, but hospitals typically charge $142.00 — a 2.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $56.36, your out-of-pocket cost would be approximately $11.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$56.36
Average Hospital Charge
$142.00
Markup Ratio
2.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$142.00
Medicare Allowed$56.36
Medicare Payment$44.70

Hospitals charge 2.5x more than what Medicare allows for this procedure. Medicare actually pays $44.70 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$60$1218710+6.7%
New Jersey$58$15085,000+3.7%
California$57$145269,357+1.9%
Connecticut$54$15011,392-3.5%
Maryland$54$61597-5.0%
Florida$53$15914888-5.5%
Washington$51$901399-9.7%
New Hampshire$50$752230-11.8%
Arizona$48$838146-15.5%
Delaware$47$15912117-16.7%
North Carolina$46$1007234-18.8%
Nebraska$45$9014269-20.5%
Indiana$45$140264-20.5%
Georgia$42$1458260-24.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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