Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month
Medicare pricing data for 2,235 providers across 44 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
Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month (HCPCS code 98980) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $50.76, but hospitals typically charge $94.31 — a 1.9x 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 $50.76, your out-of-pocket cost would be approximately $10.15. 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 1.9x more than what Medicare allows for this procedure. Medicare actually pays $39.31 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $61 | $236 | 4 | 617 | +19.5% |
| Michigan | $54 | $73 | 55 | 41,001 | +6.7% |
| New York | $54 | $94 | 97 | 1,714 | +5.9% |
| Massachusetts | $53 | $102 | 53 | 623 | +3.6% |
| New Hampshire | $53 | $109 | 3 | 37 | +3.6% |
| New Jersey | $52 | $151 | 294 | 2,971 | +2.1% |
| Connecticut | $52 | $73 | 30 | 1,187 | +2.1% |
| California | $51 | $107 | 178 | 6,185 | +0.1% |
| Oregon | $50 | $198 | 43 | 1,880 | -1.3% |
| Illinois | $50 | $97 | 95 | 3,138 | -1.6% |
| Washington | $49 | $102 | 132 | 3,413 | -3.6% |
| Minnesota | $49 | $80 | 6 | 65 | -3.7% |
| Florida | $49 | $67 | 102 | 9,413 | -4.3% |
| Virginia | $48 | $103 | 168 | 2,360 | -5.2% |
| Colorado | $48 | $71 | 51 | 672 | -5.2% |
| Pennsylvania | $48 | $129 | 120 | 1,449 | -5.6% |
| Maryland | $47 | $188 | 40 | 1,072 | -6.6% |
| District of Columbia | $47 | $104 | 3 | 90 | -6.6% |
| Nevada | $47 | $98 | 27 | 1,816 | -6.7% |
| Missouri | $47 | $61 | 27 | 610 | -6.7% |
| Delaware | $47 | $143 | 27 | 2,291 | -6.8% |
| Idaho | $47 | $101 | 4 | 124 | -8.2% |
| Utah | $47 | $53 | 5 | 340 | -8.3% |
| Louisiana | $46 | $100 | 16 | 219 | -9.2% |
| Wisconsin | $46 | $144 | 24 | 346 | -9.2% |
| South Dakota | $46 | $82 | 7 | 24 | -9.3% |
| Iowa | $46 | $59 | 6 | 46 | -10.1% |
| Wyoming | $46 | $78 | 11 | 80 | -10.2% |
| Georgia | $46 | $102 | 50 | 1,037 | -10.3% |
| Nebraska | $45 | $50 | 6 | 136 | -10.5% |
| North Carolina | $45 | $93 | 46 | 740 | -10.7% |
| Kansas | $45 | $82 | 13 | 96 | -11.5% |
| Texas | $45 | $153 | 158 | 5,262 | -11.6% |
| South Carolina | $45 | $108 | 59 | 1,267 | -11.9% |
| Arkansas | $45 | $76 | 19 | 300 | -12.1% |
| Arizona | $44 | $108 | 50 | 2,196 | -13.0% |
| Alabama | $44 | $104 | 10 | 41 | -13.4% |
| Rhode Island | $44 | $55 | 13 | 55 | -13.5% |
| Tennessee | $44 | $82 | 55 | 752 | -13.8% |
| Indiana | $44 | $65 | 32 | 297 | -14.1% |
| Oklahoma | $42 | $102 | 47 | 1,480 | -16.7% |
| Montana | $41 | $80 | 2 | 30 | -18.4% |
| Ohio | $40 | $93 | 15 | 44 | -21.0% |
| West Virginia | $40 | $58 | 4 | 42 | -21.3% |
⚠️ 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