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
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $23 | $51 | 31 | 328 | +18.1% |
| Maryland | $22 | $43 | 356 | 6,188 | +13.7% |
| California | $22 | $62 | 1,035 | 28,173 | +13.7% |
| Connecticut | $22 | $52 | 77 | 9,143 | +13.7% |
| New Jersey | $22 | $74 | 714 | 8,006 | +12.2% |
| New York | $21 | $79 | 784 | 9,284 | +10.7% |
| Hawaii | $21 | $67 | 28 | 301 | +8.7% |
| Alaska | $20 | $41 | 16 | 105 | +4.5% |
| Massachusetts | $20 | $47 | 130 | 1,773 | +2.7% |
| Colorado | $20 | $44 | 93 | 1,062 | +2.1% |
| Illinois | $19 | $50 | 288 | 5,324 | +0.1% |
| Pennsylvania | $19 | $47 | 462 | 3,470 | -0.9% |
| Montana | $19 | $72 | 9 | 242 | -1.7% |
| Virginia | $19 | $47 | 360 | 8,438 | -1.8% |
| Washington | $19 | $59 | 142 | 1,705 | -2.5% |
| Delaware | $19 | $48 | 42 | 831 | -2.6% |
| Michigan | $19 | $71 | 319 | 3,680 | -3.2% |
| Wyoming | $19 | $35 | 23 | 373 | -3.7% |
| Florida | $18 | $43 | 713 | 14,386 | -4.3% |
| Texas | $18 | $55 | 1,049 | 16,749 | -4.3% |
| Nevada | $18 | $62 | 145 | 1,452 | -4.6% |
| Rhode Island | $18 | $45 | 11 | 33 | -4.6% |
| Oregon | $18 | $56 | 36 | 1,148 | -4.9% |
| South Dakota | $18 | $35 | 7 | 342 | -5.3% |
| Minnesota | $18 | $45 | 164 | 712 | -5.6% |
| Arizona | $18 | $36 | 445 | 8,051 | -6.2% |
| Missouri | $18 | $62 | 103 | 1,320 | -7.0% |
| West Virginia | $18 | $49 | 15 | 137 | -8.1% |
| Maine | $17 | $34 | 5 | 15 | -9.3% |
| Georgia | $17 | $52 | 438 | 7,041 | -9.7% |
| North Carolina | $17 | $50 | 309 | 2,918 | -9.8% |
| Kansas | $17 | $41 | 78 | 1,655 | -10.4% |
| Wisconsin | $17 | $47 | 68 | 366 | -10.7% |
| Ohio | $17 | $38 | 194 | 2,649 | -11.6% |
| Tennessee | $17 | $51 | 301 | 4,668 | -11.7% |
| Oklahoma | $17 | $43 | 148 | 1,789 | -11.8% |
| Utah | $17 | $34 | 90 | 1,340 | -11.8% |
| Louisiana | $17 | $53 | 208 | 2,196 | -12.5% |
| Nebraska | $17 | $33 | 76 | 866 | -12.5% |
| Indiana | $17 | $40 | 330 | 2,298 | -12.6% |
| Kentucky | $17 | $52 | 65 | 1,277 | -13.1% |
| Alabama | $17 | $39 | 254 | 2,384 | -13.8% |
| South Carolina | $17 | $44 | 355 | 3,857 | -13.9% |
| Iowa | $16 | $42 | 231 | 4,650 | -14.3% |
| New Mexico | $16 | $45 | 69 | 778 | -15.5% |
| Idaho | $16 | $41 | 46 | 770 | -17.2% |
| Mississippi | $16 | $43 | 184 | 1,733 | -17.8% |
| Arkansas | $16 | $48 | 143 | 1,546 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber