Telephone or internet referral service, 30 minutes
Medicare pricing data for 868 providers across 32 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 or internet referral service, 30 minutes (HCPCS code 99452) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.95, but hospitals typically charge $75.75 — a 2.6x 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 $28.95, your out-of-pocket cost would be approximately $5.79. 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 2.6x more than what Medicare allows for this procedure. Medicare actually pays $22.84 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $35 | $96 | 173 | 1,099 | +20.7% |
| Illinois | $34 | $139 | 13 | 245 | +18.3% |
| New York | $33 | $79 | 53 | 669 | +14.9% |
| Virginia | $33 | $41 | 8 | 122 | +14.0% |
| Maryland | $32 | $73 | 21 | 1,386 | +11.5% |
| Missouri | $32 | $94 | 3 | 36 | +11.4% |
| Delaware | $32 | $110 | 9 | 12 | +10.5% |
| Kentucky | $32 | $57 | 3 | 16 | +9.6% |
| South Carolina | $32 | $50 | 4 | 160 | +9.2% |
| Georgia | $32 | $91 | 10 | 76 | +8.8% |
| Alabama | $31 | $91 | 2 | 23 | +8.7% |
| Louisiana | $31 | $75 | 36 | 60 | +8.6% |
| Arkansas | $31 | $48 | 3 | 92 | +8.0% |
| Iowa | $31 | $75 | 4 | 67 | +7.7% |
| Mississippi | $31 | $41 | 4 | 83 | +6.4% |
| Ohio | $31 | $53 | 31 | 476 | +5.8% |
| Pennsylvania | $30 | $119 | 31 | 106 | +5.0% |
| Nebraska | $30 | $88 | 85 | 203 | +4.6% |
| North Carolina | $30 | $81 | 9 | 19 | +3.6% |
| Washington | $30 | $78 | 71 | 725 | +2.5% |
| Massachusetts | $29 | $86 | 6 | 33 | +0.4% |
| Texas | $29 | $65 | 43 | 1,381 | -0.6% |
| Michigan | $29 | $82 | 41 | 270 | -0.8% |
| Indiana | $28 | $71 | 8 | 26 | -2.2% |
| Oregon | $28 | $76 | 7 | 217 | -2.7% |
| Florida | $28 | $75 | 21 | 955 | -3.1% |
| Colorado | $28 | $75 | 19 | 2,563 | -3.2% |
| Tennessee | $28 | $75 | 6 | 836 | -3.5% |
| Nevada | $28 | $75 | 36 | 10,274 | -3.7% |
| Arizona | $27 | $76 | 28 | 1,066 | -5.0% |
| Utah | $27 | $75 | 10 | 703 | -6.4% |
| Idaho | $26 | $75 | 14 | 416 | -8.5% |
⚠️ 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