Assessment of and care planning for patient with impaired thought processing, typically 60 minutes
Medicare pricing data for 5,693 providers across 51 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
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes (HCPCS code 99483) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $250.89, but hospitals typically charge $484.00 — a 1.9x 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 $250.89, your out-of-pocket cost would be approximately $50.18. 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 1.9x more than what Medicare allows for this procedure. Medicare actually pays $189.10 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $299 | $487 | 407 | 9,812 | +19.2% |
| District of Columbia | $290 | $593 | 20 | 834 | +15.6% |
| New Jersey | $285 | $462 | 229 | 3,735 | +13.5% |
| Alaska | $284 | $586 | 20 | 367 | +13.3% |
| Hawaii | $279 | $625 | 28 | 229 | +11.1% |
| Connecticut | $272 | $539 | 52 | 587 | +8.5% |
| Puerto Rico | $268 | $278 | 3 | 51 | +7.0% |
| California | $268 | $476 | 626 | 21,951 | +6.9% |
| Washington | $260 | $637 | 146 | 1,386 | +3.7% |
| Rhode Island | $255 | $520 | 9 | 25 | +1.8% |
| Maryland | $254 | $385 | 173 | 2,978 | +1.3% |
| Minnesota | $253 | $751 | 37 | 544 | +0.8% |
| Illinois | $252 | $545 | 111 | 2,437 | +0.4% |
| Florida | $252 | $484 | 670 | 14,538 | +0.3% |
| Delaware | $251 | $360 | 22 | 247 | -0.0% |
| Massachusetts | $251 | $760 | 78 | 1,229 | -0.1% |
| Oregon | $249 | $714 | 38 | 801 | -0.7% |
| Texas | $248 | $446 | 577 | 11,156 | -1.0% |
| Wyoming | $245 | $485 | 6 | 114 | -2.3% |
| Kentucky | $244 | $518 | 38 | 480 | -2.9% |
| Georgia | $243 | $537 | 182 | 1,940 | -3.0% |
| Colorado | $243 | $584 | 141 | 2,271 | -3.3% |
| Pennsylvania | $242 | $433 | 206 | 3,599 | -3.4% |
| West Virginia | $242 | $408 | 24 | 777 | -3.6% |
| New Hampshire | $241 | $641 | 9 | 104 | -3.8% |
| Montana | $239 | $523 | 12 | 210 | -4.9% |
| New Mexico | $236 | $556 | 31 | 379 | -5.8% |
| Nevada | $236 | $452 | 82 | 962 | -6.0% |
| Michigan | $235 | $400 | 187 | 3,907 | -6.4% |
| Arizona | $234 | $489 | 200 | 3,901 | -6.7% |
| Virginia | $232 | $425 | 116 | 2,455 | -7.4% |
| Mississippi | $231 | $352 | 44 | 996 | -7.7% |
| North Dakota | $230 | $617 | 11 | 43 | -8.2% |
| Tennessee | $229 | $466 | 87 | 2,092 | -8.8% |
| South Carolina | $229 | $405 | 111 | 1,955 | -8.8% |
| Indiana | $228 | $449 | 79 | 983 | -9.1% |
| North Carolina | $224 | $557 | 133 | 2,126 | -10.8% |
| Wisconsin | $222 | $721 | 28 | 298 | -11.6% |
| Kansas | $221 | $530 | 54 | 2,018 | -12.0% |
| Oklahoma | $220 | $439 | 88 | 1,851 | -12.3% |
| Idaho | $215 | $435 | 23 | 127 | -14.2% |
| Maine | $214 | $283 | 9 | 25 | -14.7% |
| Vermont | $214 | $253 | 7 | 14 | -14.7% |
| Utah | $213 | $486 | 75 | 1,507 | -14.9% |
| Louisiana | $211 | $473 | 54 | 802 | -15.8% |
| Missouri | $211 | $403 | 57 | 1,796 | -16.0% |
| Arkansas | $207 | $513 | 37 | 528 | -17.7% |
| Ohio | $205 | $620 | 153 | 2,266 | -18.2% |
| Nebraska | $196 | $577 | 60 | 1,411 | -22.0% |
| Iowa | $195 | $394 | 14 | 467 | -22.4% |
| Alabama | $190 | $411 | 68 | 1,206 | -24.4% |
⚠️ 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