Smoking and tobacco use intensive counseling, more than 10 minutes
Medicare pricing data for 8,878 providers across 50 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
Smoking and tobacco use intensive counseling, more than 10 minutes (HCPCS code 99407) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.27, but hospitals typically charge $64.21 — a 2.4x 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 $26.27, your out-of-pocket cost would be approximately $5.25. 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 2.4x more than what Medicare allows for this procedure. Medicare actually pays $26.27 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $30 | $78 | 790 | 4,738 | +12.8% |
| Vermont | $29 | $74 | 5 | 25 | +11.6% |
| District of Columbia | $29 | $50 | 29 | 221 | +11.3% |
| New Jersey | $29 | $85 | 383 | 2,069 | +8.7% |
| Hawaii | $28 | $58 | 8 | 18 | +4.7% |
| Maryland | $27 | $60 | 187 | 1,640 | +4.3% |
| Connecticut | $27 | $65 | 114 | 511 | +3.5% |
| Rhode Island | $27 | $57 | 32 | 221 | +3.5% |
| California | $27 | $59 | 797 | 14,967 | +3.4% |
| Illinois | $27 | $56 | 333 | 2,323 | +2.7% |
| Massachusetts | $27 | $86 | 293 | 1,848 | +2.4% |
| Delaware | $27 | $43 | 8 | 56 | +2.2% |
| Michigan | $27 | $49 | 301 | 2,057 | +2.1% |
| Wyoming | $27 | $54 | 11 | 26 | +1.9% |
| Florida | $27 | $64 | 763 | 5,219 | +1.3% |
| Colorado | $26 | $62 | 101 | 292 | +0.5% |
| Pennsylvania | $26 | $59 | 333 | 1,393 | -1.8% |
| Washington | $26 | $73 | 165 | 488 | -2.9% |
| Georgia | $25 | $65 | 276 | 1,254 | -3.3% |
| Missouri | $25 | $55 | 94 | 351 | -3.3% |
| Texas | $25 | $60 | 596 | 5,140 | -3.8% |
| Louisiana | $25 | $64 | 157 | 1,279 | -4.5% |
| Oregon | $25 | $84 | 120 | 309 | -5.0% |
| North Carolina | $25 | $67 | 364 | 1,998 | -5.1% |
| Minnesota | $25 | $98 | 131 | 432 | -6.0% |
| Ohio | $24 | $76 | 275 | 905 | -6.9% |
| Tennessee | $24 | $67 | 240 | 801 | -7.0% |
| South Carolina | $24 | $59 | 145 | 590 | -7.1% |
| Kentucky | $24 | $64 | 158 | 877 | -7.2% |
| Arizona | $24 | $78 | 161 | 910 | -7.6% |
| Oklahoma | $24 | $62 | 114 | 740 | -7.8% |
| Alabama | $24 | $42 | 112 | 614 | -8.0% |
| West Virginia | $24 | $52 | 37 | 250 | -8.2% |
| New Hampshire | $24 | $77 | 50 | 211 | -8.3% |
| North Dakota | $24 | $73 | 12 | 27 | -8.8% |
| New Mexico | $24 | $67 | 32 | 81 | -8.9% |
| Nevada | $24 | $54 | 119 | 1,704 | -9.2% |
| Wisconsin | $24 | $91 | 99 | 390 | -9.2% |
| Kansas | $24 | $64 | 73 | 204 | -9.6% |
| Indiana | $24 | $60 | 215 | 1,458 | -10.3% |
| Mississippi | $24 | $73 | 96 | 670 | -10.5% |
| Arkansas | $23 | $50 | 71 | 299 | -10.7% |
| Iowa | $23 | $73 | 53 | 129 | -10.9% |
| South Dakota | $23 | $49 | 12 | 29 | -11.1% |
| Idaho | $23 | $62 | 28 | 53 | -11.7% |
| Nebraska | $23 | $63 | 59 | 186 | -12.0% |
| Utah | $23 | $84 | 39 | 114 | -13.5% |
| Montana | $22 | $49 | 39 | 120 | -15.1% |
| Maine | $22 | $81 | 28 | 112 | -16.1% |
| Virginia | $22 | $49 | 175 | 839 | -17.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber