99453

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment

Medicare pricing data for 11,236 providers across 48 states

🤖AI Overview

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

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS code 99453) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $19.22, but hospitals typically charge $52.92 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$3.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $19.22, your out-of-pocket cost would be approximately $3.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$19.22
Average Hospital Charge
$52.92
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$52.92
Medicare Allowed$19.22
Medicare Payment$14.76

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $14.76 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$23$5131328+18.1%
Maryland$22$433566,188+13.7%
California$22$621,03528,173+13.7%
Connecticut$22$52779,143+13.7%
New Jersey$22$747148,006+12.2%
New York$21$797849,284+10.7%
Hawaii$21$6728301+8.7%
Alaska$20$4116105+4.5%
Massachusetts$20$471301,773+2.7%
Colorado$20$44931,062+2.1%
Illinois$19$502885,324+0.1%
Pennsylvania$19$474623,470-0.9%
Montana$19$729242-1.7%
Virginia$19$473608,438-1.8%
Washington$19$591421,705-2.5%
Delaware$19$4842831-2.6%
Michigan$19$713193,680-3.2%
Wyoming$19$3523373-3.7%
Florida$18$4371314,386-4.3%
Texas$18$551,04916,749-4.3%
Nevada$18$621451,452-4.6%
Rhode Island$18$451133-4.6%
Oregon$18$56361,148-4.9%
South Dakota$18$357342-5.3%
Minnesota$18$45164712-5.6%
Arizona$18$364458,051-6.2%
Missouri$18$621031,320-7.0%
West Virginia$18$4915137-8.1%
Maine$17$34515-9.3%
Georgia$17$524387,041-9.7%
North Carolina$17$503092,918-9.8%
Kansas$17$41781,655-10.4%
Wisconsin$17$4768366-10.7%
Ohio$17$381942,649-11.6%
Tennessee$17$513014,668-11.7%
Oklahoma$17$431481,789-11.8%
Utah$17$34901,340-11.8%
Louisiana$17$532082,196-12.5%
Nebraska$17$3376866-12.5%
Indiana$17$403302,298-12.6%
Kentucky$17$52651,277-13.1%
Alabama$17$392542,384-13.8%
South Carolina$17$443553,857-13.9%
Iowa$16$422314,650-14.3%
New Mexico$16$4569778-15.5%
Idaho$16$4146770-17.2%
Mississippi$16$431841,733-17.8%
Arkansas$16$481431,546-18.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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