99473

Education and training to self measure blood pressure

Medicare pricing data for 546 providers across 29 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

Education and training to self measure blood pressure (HCPCS code 99473) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.58, but hospitals typically charge $21.98 — a 1.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.72

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.58, your out-of-pocket cost would be approximately $2.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.58
Average Hospital Charge
$21.98
Markup Ratio
1.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$21.98
Medicare Allowed$13.58
Medicare Payment$10.56

Hospitals charge 1.6x more than what Medicare allows for this procedure. Medicare actually pays $10.56 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$15$5627241+11.7%
Washington$15$5957173+7.9%
Maryland$15$341238+7.6%
Massachusetts$14$36621+6.6%
California$14$2010322,783+1.3%
Pennsylvania$14$261352-0.4%
Illinois$13$5010425-1.6%
Colorado$13$35522-3.0%
New Jersey$13$38721-3.6%
Virginia$13$221255-7.0%
Florida$12$3147724-8.1%
Michigan$12$2924112-9.8%
Minnesota$12$731026-12.7%
Oregon$12$51720-13.3%
New Hampshire$12$23713-14.3%
Wisconsin$11$471723-16.1%
Indiana$11$23818-16.6%
Nebraska$11$211564-16.7%
Georgia$11$381349-17.2%
Arizona$11$2428177-18.2%
Nevada$11$2717534-19.4%
Kansas$11$22744-21.1%
North Carolina$11$33715-22.1%
Idaho$10$41417-23.0%
Kentucky$10$29111-23.4%
Texas$10$2519202-24.0%
Mississippi$10$32411-24.1%
West Virginia$10$29330-25.2%
South Carolina$10$70715-25.6%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber