Nursing facility discharge day management, 30 minutes or less
Medicare pricing data for 14,334 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
Nursing facility discharge day management, 30 minutes or less (HCPCS code 99315) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.27, but hospitals typically charge $159.62 — 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 $76.27, your out-of-pocket cost would be approximately $15.25. 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 $59.31 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $101 | $352 | 58 | 370 | +32.4% |
| New York | $87 | $185 | 935 | 14,131 | +13.8% |
| California | $84 | $170 | 823 | 16,391 | +9.6% |
| New Jersey | $83 | $160 | 539 | 7,427 | +8.4% |
| Maryland | $81 | $142 | 324 | 5,104 | +5.9% |
| Connecticut | $78 | $147 | 197 | 1,874 | +2.4% |
| Montana | $77 | $190 | 113 | 372 | +0.9% |
| Rhode Island | $77 | $136 | 62 | 771 | +0.6% |
| Illinois | $77 | $156 | 572 | 5,974 | +0.4% |
| Nevada | $77 | $221 | 91 | 1,140 | +0.4% |
| Florida | $76 | $154 | 752 | 12,413 | +0.2% |
| Pennsylvania | $76 | $144 | 830 | 9,562 | -0.5% |
| Massachusetts | $76 | $162 | 411 | 6,609 | -0.6% |
| District of Columbia | $75 | $133 | 16 | 119 | -2.1% |
| Hawaii | $75 | $154 | 40 | 231 | -2.1% |
| Washington | $75 | $188 | 249 | 1,831 | -2.3% |
| Colorado | $74 | $148 | 321 | 3,366 | -2.3% |
| Texas | $74 | $156 | 738 | 5,952 | -2.4% |
| Wyoming | $74 | $176 | 68 | 663 | -2.8% |
| Oregon | $74 | $191 | 120 | 681 | -3.0% |
| Georgia | $74 | $135 | 277 | 2,684 | -3.2% |
| North Dakota | $73 | $202 | 112 | 573 | -4.1% |
| Maine | $73 | $187 | 87 | 253 | -4.2% |
| Michigan | $73 | $151 | 414 | 6,155 | -4.2% |
| Utah | $73 | $215 | 96 | 614 | -4.6% |
| West Virginia | $73 | $156 | 155 | 1,300 | -4.6% |
| Delaware | $73 | $187 | 36 | 251 | -4.7% |
| Arizona | $73 | $165 | 165 | 1,952 | -4.9% |
| New Hampshire | $72 | $175 | 119 | 1,183 | -5.1% |
| Ohio | $72 | $142 | 690 | 5,950 | -5.4% |
| South Carolina | $72 | $145 | 175 | 1,339 | -5.4% |
| Vermont | $72 | $149 | 51 | 353 | -5.6% |
| Louisiana | $72 | $167 | 196 | 1,079 | -5.8% |
| Missouri | $72 | $128 | 282 | 2,235 | -5.8% |
| Minnesota | $72 | $197 | 330 | 1,472 | -5.8% |
| New Mexico | $72 | $163 | 61 | 304 | -6.0% |
| Arkansas | $72 | $144 | 117 | 800 | -6.1% |
| Kansas | $72 | $139 | 228 | 1,375 | -6.2% |
| Puerto Rico | $71 | $74 | 5 | 30 | -6.7% |
| Virginia | $71 | $147 | 440 | 4,481 | -6.8% |
| South Dakota | $71 | $143 | 117 | 853 | -7.1% |
| Wisconsin | $71 | $227 | 245 | 1,614 | -7.2% |
| Kentucky | $71 | $146 | 269 | 2,214 | -7.4% |
| Alabama | $70 | $127 | 199 | 2,043 | -7.8% |
| Iowa | $70 | $173 | 375 | 2,157 | -8.0% |
| Nebraska | $69 | $163 | 156 | 1,113 | -9.1% |
| Mississippi | $69 | $141 | 149 | 1,725 | -9.2% |
| Tennessee | $69 | $151 | 366 | 3,638 | -9.3% |
| North Carolina | $69 | $163 | 534 | 5,647 | -9.3% |
| Oklahoma | $69 | $172 | 148 | 2,288 | -9.8% |
| Idaho | $69 | $151 | 97 | 533 | -10.0% |
| Indiana | $68 | $130 | 380 | 3,820 | -11.3% |
⚠️ 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