Critical care, each additional 30 minutes
Medicare pricing data for 45,612 providers across 52 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
Critical care, each additional 30 minutes (HCPCS code 99292) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $104.26, but hospitals typically charge $448.95 — a 4.3x 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 $104.26, your out-of-pocket cost would be approximately $20.85. 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 4.3x more than what Medicare allows for this procedure. Medicare actually pays $83.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $138 | $753 | 84 | 605 | +32.4% |
| New York | $115 | $530 | 2,977 | 26,659 | +9.9% |
| District of Columbia | $112 | $389 | 273 | 2,206 | +7.5% |
| New Jersey | $112 | $567 | 1,046 | 10,023 | +7.4% |
| California | $111 | $460 | 4,194 | 53,894 | +6.1% |
| Florida | $110 | $454 | 2,585 | 33,257 | +5.3% |
| Rhode Island | $108 | $401 | 185 | 1,195 | +3.7% |
| Illinois | $108 | $462 | 1,836 | 13,378 | +3.4% |
| Maryland | $108 | $401 | 1,209 | 13,276 | +3.3% |
| Puerto Rico | $107 | $542 | 47 | 185 | +2.4% |
| Delaware | $107 | $525 | 128 | 705 | +2.4% |
| Washington | $106 | $432 | 1,146 | 7,932 | +2.0% |
| Pennsylvania | $106 | $386 | 2,250 | 14,624 | +1.3% |
| Virginia | $106 | $400 | 1,181 | 8,764 | +1.3% |
| Nevada | $105 | $406 | 296 | 2,580 | +0.9% |
| Colorado | $105 | $410 | 842 | 6,053 | +0.9% |
| West Virginia | $105 | $428 | 260 | 1,600 | +0.8% |
| Connecticut | $105 | $471 | 849 | 8,192 | +0.5% |
| Wyoming | $105 | $661 | 62 | 241 | +0.5% |
| New Mexico | $104 | $460 | 249 | 1,327 | +0.2% |
| Texas | $104 | $465 | 2,660 | 20,964 | +0.2% |
| Michigan | $104 | $443 | 1,798 | 10,870 | +0.1% |
| Massachusetts | $104 | $385 | 1,882 | 22,256 | -0.1% |
| Montana | $104 | $323 | 180 | 1,357 | -0.7% |
| South Dakota | $103 | $531 | 105 | 643 | -1.0% |
| Hawaii | $103 | $296 | 202 | 3,007 | -1.3% |
| Louisiana | $103 | $599 | 536 | 2,952 | -1.4% |
| Ohio | $103 | $472 | 1,607 | 8,367 | -1.4% |
| Arizona | $103 | $395 | 764 | 8,105 | -1.4% |
| North Dakota | $102 | $394 | 119 | 985 | -2.1% |
| Maine | $102 | $397 | 230 | 1,022 | -2.2% |
| Oregon | $102 | $391 | 742 | 6,017 | -2.5% |
| Vermont | $101 | $352 | 96 | 748 | -2.9% |
| New Hampshire | $101 | $432 | 273 | 1,598 | -3.0% |
| Minnesota | $101 | $467 | 996 | 5,508 | -3.2% |
| Mississippi | $100 | $609 | 303 | 1,916 | -4.2% |
| Indiana | $100 | $389 | 873 | 4,778 | -4.4% |
| Oklahoma | $100 | $500 | 465 | 3,079 | -4.5% |
| Kentucky | $99 | $320 | 600 | 4,528 | -4.8% |
| Arkansas | $99 | $471 | 306 | 1,627 | -4.8% |
| South Carolina | $99 | $459 | 644 | 3,590 | -5.1% |
| Idaho | $99 | $335 | 198 | 944 | -5.3% |
| Utah | $98 | $464 | 318 | 3,192 | -6.3% |
| Wisconsin | $97 | $807 | 931 | 6,718 | -6.7% |
| Nebraska | $97 | $322 | 298 | 1,379 | -6.9% |
| Iowa | $97 | $439 | 342 | 2,278 | -7.2% |
| North Carolina | $96 | $409 | 1,778 | 13,123 | -7.7% |
| Tennessee | $96 | $393 | 947 | 8,110 | -7.7% |
| Kansas | $95 | $340 | 484 | 5,420 | -9.2% |
| Missouri | $94 | $521 | 993 | 18,574 | -9.7% |
| Georgia | $93 | $424 | 1,515 | 26,823 | -10.9% |
| Alabama | $92 | $317 | 643 | 7,943 | -11.7% |
⚠️ 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