Telephone medical discussion with physician, 5-10 minutes
Medicare pricing data for 89,631 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
Telephone medical discussion with physician, 5-10 minutes (HCPCS code 99441) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $47.70, but hospitals typically charge $107.42 — a 2.3x 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 $47.70, your out-of-pocket cost would be approximately $9.54. 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 2.3x more than what Medicare allows for this procedure. Medicare actually pays $33.72 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $56 | $127 | 7,831 | 95,300 | +17.3% |
| Alaska | $55 | $118 | 401 | 2,286 | +15.9% |
| Hawaii | $53 | $102 | 537 | 4,868 | +11.3% |
| Connecticut | $53 | $121 | 1,245 | 6,853 | +10.4% |
| New Jersey | $52 | $129 | 2,423 | 34,590 | +9.7% |
| Maryland | $52 | $97 | 1,721 | 17,712 | +9.0% |
| California | $51 | $114 | 12,283 | 115,791 | +7.5% |
| District of Columbia | $50 | $98 | 264 | 3,093 | +5.7% |
| Rhode Island | $49 | $111 | 445 | 2,830 | +2.7% |
| Minnesota | $49 | $120 | 2,953 | 12,454 | +2.6% |
| Wyoming | $49 | $83 | 139 | 636 | +2.6% |
| Nevada | $48 | $100 | 417 | 2,522 | +0.3% |
| Florida | $48 | $105 | 3,754 | 35,750 | -0.1% |
| Illinois | $47 | $106 | 3,862 | 30,414 | -0.9% |
| Massachusetts | $47 | $128 | 3,377 | 23,244 | -1.4% |
| Virginia | $47 | $96 | 2,152 | 16,802 | -2.2% |
| Kansas | $46 | $102 | 518 | 5,908 | -3.0% |
| Pennsylvania | $46 | $93 | 4,249 | 25,983 | -3.5% |
| Delaware | $46 | $112 | 417 | 4,625 | -3.9% |
| Colorado | $46 | $102 | 1,587 | 9,222 | -3.9% |
| Missouri | $46 | $87 | 1,187 | 6,772 | -4.1% |
| Arizona | $45 | $90 | 1,826 | 14,195 | -5.0% |
| Georgia | $44 | $108 | 1,685 | 10,972 | -7.1% |
| South Carolina | $44 | $84 | 954 | 5,567 | -7.2% |
| New Mexico | $44 | $99 | 525 | 6,495 | -7.2% |
| Oklahoma | $44 | $84 | 680 | 10,573 | -7.6% |
| Texas | $44 | $107 | 4,795 | 39,266 | -8.4% |
| Michigan | $44 | $85 | 3,235 | 18,614 | -8.4% |
| Washington | $43 | $109 | 2,588 | 19,248 | -8.9% |
| Utah | $43 | $106 | 356 | 1,274 | -10.2% |
| New Hampshire | $43 | $109 | 695 | 4,275 | -10.3% |
| Indiana | $43 | $81 | 1,249 | 7,707 | -10.4% |
| Oregon | $43 | $116 | 1,679 | 10,275 | -10.5% |
| Ohio | $42 | $84 | 4,070 | 19,232 | -11.4% |
| North Carolina | $42 | $96 | 2,907 | 14,896 | -12.5% |
| Mississippi | $42 | $80 | 369 | 3,181 | -12.8% |
| Tennessee | $41 | $91 | 1,462 | 12,153 | -13.6% |
| Vermont | $41 | $115 | 227 | 1,618 | -13.7% |
| Montana | $41 | $119 | 424 | 7,936 | -14.0% |
| Louisiana | $41 | $84 | 569 | 2,950 | -14.2% |
| Puerto Rico | $41 | $53 | 372 | 2,494 | -14.3% |
| Kentucky | $41 | $81 | 799 | 4,835 | -14.5% |
| Alabama | $41 | $78 | 851 | 4,697 | -14.7% |
| Wisconsin | $39 | $109 | 1,959 | 8,843 | -17.9% |
| Arkansas | $39 | $84 | 682 | 5,939 | -18.3% |
| North Dakota | $38 | $99 | 161 | 583 | -20.2% |
| Iowa | $37 | $84 | 368 | 1,843 | -21.8% |
| South Dakota | $37 | $110 | 157 | 517 | -23.2% |
| Idaho | $37 | $109 | 386 | 2,093 | -23.3% |
| West Virginia | $36 | $87 | 730 | 6,736 | -24.0% |
| Nebraska | $36 | $65 | 453 | 4,989 | -25.0% |
| Maine | $35 | $111 | 605 | 3,204 | -26.6% |
⚠️ 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