Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes
Medicare pricing data for 7,301 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
Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes (HCPCS code 99422) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.29, but hospitals typically charge $78.76 — a 2.8x 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 $28.29, your out-of-pocket cost would be approximately $5.66. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $20.58 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $33 | $74 | 232 | 1,295 | +16.5% |
| Alaska | $33 | $93 | 15 | 54 | +16.1% |
| District of Columbia | $33 | $49 | 31 | 107 | +15.4% |
| New York | $32 | $86 | 290 | 2,773 | +13.2% |
| New Jersey | $31 | $146 | 102 | 753 | +8.2% |
| California | $30 | $118 | 1,214 | 8,486 | +6.4% |
| Connecticut | $30 | $71 | 23 | 68 | +5.3% |
| Illinois | $29 | $70 | 348 | 1,677 | +3.4% |
| Delaware | $29 | $80 | 14 | 133 | +2.5% |
| Massachusetts | $29 | $99 | 74 | 206 | +2.1% |
| New Hampshire | $29 | $52 | 9 | 32 | +1.7% |
| Washington | $29 | $80 | 354 | 1,434 | +1.4% |
| Florida | $29 | $70 | 364 | 1,879 | +1.2% |
| Vermont | $29 | $40 | 4 | 136 | +1.1% |
| Texas | $28 | $61 | 528 | 10,897 | -1.1% |
| Wyoming | $28 | $113 | 9 | 14 | -2.4% |
| Arizona | $27 | $55 | 125 | 805 | -2.9% |
| Virginia | $27 | $58 | 139 | 501 | -3.5% |
| Oregon | $27 | $85 | 129 | 320 | -4.5% |
| Hawaii | $27 | $77 | 23 | 103 | -4.9% |
| Georgia | $27 | $123 | 89 | 314 | -5.2% |
| New Mexico | $27 | $75 | 19 | 144 | -5.4% |
| Nevada | $27 | $67 | 22 | 258 | -5.4% |
| Minnesota | $27 | $79 | 423 | 895 | -5.5% |
| North Carolina | $27 | $75 | 312 | 1,196 | -5.9% |
| Maine | $27 | $63 | 11 | 35 | -6.1% |
| Colorado | $26 | $68 | 71 | 253 | -6.7% |
| Montana | $26 | $74 | 13 | 31 | -7.2% |
| Pennsylvania | $26 | $67 | 265 | 872 | -7.7% |
| Missouri | $26 | $71 | 62 | 191 | -7.8% |
| Alabama | $26 | $55 | 30 | 55 | -8.0% |
| Tennessee | $26 | $49 | 167 | 1,242 | -8.2% |
| Ohio | $26 | $61 | 566 | 1,804 | -8.6% |
| Michigan | $26 | $77 | 461 | 1,382 | -8.6% |
| South Carolina | $26 | $65 | 74 | 262 | -8.7% |
| Kentucky | $26 | $60 | 40 | 84 | -9.8% |
| Puerto Rico | $26 | $61 | 6 | 25 | -9.8% |
| West Virginia | $25 | $73 | 21 | 30 | -11.1% |
| Louisiana | $25 | $67 | 67 | 185 | -11.8% |
| Oklahoma | $25 | $38 | 39 | 979 | -12.5% |
| Kansas | $25 | $80 | 23 | 58 | -13.1% |
| Iowa | $24 | $93 | 76 | 197 | -13.8% |
| Wisconsin | $24 | $68 | 117 | 517 | -14.1% |
| Indiana | $24 | $75 | 71 | 209 | -14.4% |
| North Dakota | $24 | $73 | 12 | 22 | -15.3% |
| Mississippi | $24 | $54 | 32 | 64 | -16.9% |
| Arkansas | $23 | $58 | 22 | 56 | -18.1% |
| Nebraska | $23 | $67 | 59 | 479 | -19.9% |
| Utah | $22 | $80 | 19 | 119 | -22.4% |
| Idaho | $21 | $68 | 19 | 92 | -26.0% |
⚠️ 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