99291

Critical care, first 30-74 minutes

Medicare pricing data for 141,099 providers across 52 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 5.7 million services annually. Even small pricing inefficiencies here affect millions of patients. 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

Critical care, first 30-74 minutes (HCPCS code 99291) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $211.99, but hospitals typically charge $1,019 — a 4.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$42.40

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $211.99, your out-of-pocket cost would be approximately $42.40. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$211.99
Average Hospital Charge
$1,019
Markup Ratio
4.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,019.28
Medicare Allowed$211.99
Medicare Payment$169.19

Hospitals charge 4.8x more than what Medicare allows for this procedure. Medicare actually pays $169.19 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$273$1,5952277,549+28.7%
New York$231$1,1208,947402,272+9.2%
District of Columbia$226$81769134,790+6.5%
New Jersey$223$1,2623,934186,488+5.4%
California$220$98813,015794,427+4.0%
Maryland$219$1,0422,795147,754+3.5%
Connecticut$218$1,0352,15573,150+2.9%
Illinois$218$9875,745239,902+2.7%
Massachusetts$217$8854,004166,919+2.2%
Florida$215$1,0329,127456,738+1.6%
Rhode Island$215$1,01756118,781+1.5%
Delaware$212$1,09249716,138-0.2%
Michigan$211$1,0155,260173,374-0.4%
Pennsylvania$211$9027,205279,493-0.4%
Washington$211$9723,04385,636-0.5%
Colorado$210$9422,65178,005-1.0%
Puerto Rico$210$8413406,353-1.0%
Nevada$210$1,0721,14052,602-1.1%
Hawaii$209$91552318,296-1.3%
Virginia$209$9683,625149,759-1.6%
Montana$208$70443812,721-1.9%
Louisiana$207$1,2912,07971,670-2.5%
Maine$207$94866515,143-2.5%
Arizona$206$9942,630102,022-2.7%
Wyoming$206$1,1941723,740-2.7%
Oregon$206$9081,73943,525-2.8%
New Mexico$206$94076221,657-2.8%
Texas$206$1,0679,895416,294-2.8%
West Virginia$205$99587127,154-3.1%
New Hampshire$205$1,09071919,866-3.1%
North Dakota$205$83027011,722-3.3%
Ohio$205$1,0695,988208,720-3.4%
South Dakota$205$9592928,775-3.5%
Missouri$204$9682,983110,469-3.8%
Georgia$203$1,0004,394151,269-4.3%
Utah$203$97891524,042-4.3%
Vermont$203$8282617,483-4.3%
Minnesota$203$1,0182,65860,205-4.4%
Kentucky$202$8402,06083,522-4.7%
South Carolina$201$1,0152,29377,081-5.2%
Oklahoma$200$1,0271,56560,740-5.6%
North Carolina$200$1,0105,179164,970-5.7%
Indiana$200$8843,04397,515-5.8%
Mississippi$199$1,2421,12652,726-6.0%
Wisconsin$199$1,5632,51469,433-6.3%
Idaho$198$86853514,005-6.7%
Iowa$198$9371,04232,334-6.7%
Alabama$197$9312,03666,149-6.8%
Arkansas$197$8591,14555,702-7.0%
Kansas$197$8421,29344,798-7.3%
Nebraska$195$73881323,600-7.9%
Tennessee$195$1,0463,113104,156-8.0%

⚠️ 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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