Nursing facility discharge management, more than 30 minutes
Medicare pricing data for 19,754 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 management, more than 30 minutes (HCPCS code 99316) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $119.25, but hospitals typically charge $243.62 — a 2.0x 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 $119.25, your out-of-pocket cost would be approximately $23.85. 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 2.0x more than what Medicare allows for this procedure. Medicare actually pays $93.29 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $167 | $504 | 39 | 263 | +40.4% |
| California | $134 | $268 | 1,149 | 27,171 | +12.6% |
| New York | $133 | $259 | 1,462 | 38,857 | +11.9% |
| District of Columbia | $132 | $212 | 39 | 476 | +10.9% |
| North Dakota | $131 | $267 | 88 | 1,053 | +10.1% |
| New Jersey | $130 | $243 | 816 | 16,965 | +9.0% |
| Hawaii | $126 | $293 | 84 | 950 | +5.8% |
| Maryland | $122 | $205 | 587 | 15,092 | +2.6% |
| West Virginia | $121 | $204 | 134 | 1,821 | +1.7% |
| Nevada | $120 | $282 | 158 | 5,233 | +0.7% |
| Illinois | $120 | $244 | 755 | 13,366 | +0.5% |
| Florida | $120 | $245 | 969 | 23,206 | +0.3% |
| Massachusetts | $119 | $251 | 644 | 18,352 | -0.1% |
| Arizona | $119 | $234 | 278 | 6,496 | -0.3% |
| Pennsylvania | $118 | $216 | 1,118 | 18,124 | -1.1% |
| Rhode Island | $118 | $228 | 61 | 734 | -1.2% |
| Connecticut | $118 | $206 | 331 | 8,087 | -1.4% |
| Texas | $117 | $228 | 924 | 10,790 | -1.6% |
| South Dakota | $116 | $286 | 104 | 668 | -2.3% |
| Montana | $116 | $268 | 122 | 1,311 | -2.4% |
| Vermont | $116 | $257 | 62 | 1,003 | -2.6% |
| Washington | $116 | $308 | 380 | 7,771 | -2.7% |
| Colorado | $115 | $224 | 354 | 5,362 | -3.2% |
| Michigan | $115 | $258 | 683 | 12,588 | -3.5% |
| Virginia | $115 | $209 | 673 | 16,641 | -3.6% |
| Wyoming | $115 | $294 | 47 | 326 | -3.6% |
| Maine | $115 | $274 | 195 | 2,026 | -3.7% |
| Missouri | $115 | $208 | 282 | 3,813 | -3.7% |
| New Hampshire | $114 | $234 | 182 | 2,403 | -4.0% |
| Georgia | $114 | $207 | 351 | 5,637 | -4.3% |
| Delaware | $113 | $227 | 84 | 2,473 | -4.9% |
| Oklahoma | $113 | $283 | 167 | 2,657 | -5.1% |
| Oregon | $113 | $300 | 209 | 2,967 | -5.2% |
| New Mexico | $113 | $266 | 103 | 1,170 | -5.4% |
| Ohio | $113 | $217 | 852 | 11,491 | -5.6% |
| Louisiana | $112 | $213 | 312 | 2,921 | -6.1% |
| Utah | $112 | $340 | 84 | 2,110 | -6.1% |
| Minnesota | $111 | $317 | 570 | 8,114 | -6.5% |
| North Carolina | $111 | $241 | 778 | 13,750 | -6.6% |
| Kentucky | $110 | $213 | 330 | 4,198 | -7.6% |
| Wisconsin | $110 | $307 | 421 | 6,324 | -7.6% |
| Alabama | $110 | $195 | 195 | 2,259 | -7.8% |
| South Carolina | $109 | $181 | 417 | 8,111 | -8.6% |
| Iowa | $109 | $268 | 333 | 2,778 | -8.8% |
| Idaho | $109 | $227 | 157 | 3,080 | -8.8% |
| Puerto Rico | $108 | $115 | 4 | 17 | -9.1% |
| Kansas | $108 | $285 | 268 | 4,800 | -9.1% |
| Arkansas | $108 | $174 | 124 | 946 | -9.4% |
| Indiana | $108 | $220 | 452 | 7,847 | -9.7% |
| Mississippi | $108 | $275 | 174 | 2,562 | -9.7% |
| Tennessee | $106 | $223 | 495 | 9,039 | -11.2% |
| Nebraska | $106 | $261 | 148 | 2,740 | -11.4% |
⚠️ 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