Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days
Medicare pricing data for 777 providers across 32 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
Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days (HCPCS code 99091) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $54.11, but hospitals typically charge $115.61 — a 2.1x 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 $54.11, your out-of-pocket cost would be approximately $10.82. 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 2.1x more than what Medicare allows for this procedure. Medicare actually pays $41.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $59 | $95 | 2 | 75 | +9.1% |
| New Jersey | $58 | $146 | 40 | 7,836 | +7.2% |
| New York | $58 | $110 | 26 | 1,060 | +6.5% |
| Maryland | $58 | $80 | 6 | 167 | +6.3% |
| California | $57 | $110 | 102 | 17,212 | +5.8% |
| Pennsylvania | $56 | $168 | 10 | 278 | +2.8% |
| Florida | $55 | $106 | 42 | 3,213 | +2.3% |
| Hawaii | $55 | $65 | 2 | 14 | +2.3% |
| Virginia | $55 | $151 | 7 | 293 | +2.1% |
| Michigan | $54 | $127 | 26 | 1,304 | +0.6% |
| Massachusetts | $54 | $88 | 4 | 49 | -0.1% |
| Missouri | $53 | $171 | 8 | 433 | -1.3% |
| Arizona | $53 | $106 | 36 | 1,402 | -1.9% |
| Georgia | $53 | $84 | 22 | 9,333 | -2.0% |
| Illinois | $53 | $111 | 25 | 1,357 | -2.3% |
| Ohio | $52 | $61 | 9 | 451 | -3.0% |
| Texas | $52 | $130 | 251 | 16,940 | -3.9% |
| Colorado | $52 | $136 | 13 | 81 | -4.1% |
| Louisiana | $52 | $178 | 21 | 256 | -4.3% |
| Delaware | $52 | $102 | 5 | 11 | -4.4% |
| North Carolina | $51 | $113 | 12 | 1,947 | -4.9% |
| Oklahoma | $51 | $121 | 7 | 945 | -5.3% |
| Alabama | $51 | $102 | 13 | 409 | -5.3% |
| Nevada | $51 | $92 | 13 | 1,921 | -5.5% |
| West Virginia | $51 | $76 | 2 | 484 | -5.5% |
| Kansas | $51 | $100 | 2 | 309 | -6.3% |
| South Carolina | $49 | $89 | 5 | 14 | -9.8% |
| Arkansas | $46 | $101 | 6 | 90 | -14.8% |
| Oregon | $44 | $165 | 5 | 199 | -18.3% |
| Wisconsin | $44 | $110 | 1 | 74 | -18.7% |
| Tennessee | $44 | $156 | 6 | 785 | -18.8% |
| Mississippi | $44 | $76 | 13 | 1,419 | -19.1% |
⚠️ 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