Initial psychiatric collaborative care management, first calendar month, first 70 minutes
Medicare pricing data for 5,068 providers across 39 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
Initial psychiatric collaborative care management, first calendar month, first 70 minutes (HCPCS code 99492) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $137.13, but hospitals typically charge $352.27 — 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 $137.13, your out-of-pocket cost would be approximately $27.43. 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 $106.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $162 | $503 | 367 | 1,339 | +17.8% |
| District of Columbia | $160 | $347 | 26 | 130 | +16.6% |
| New Jersey | $153 | $371 | 84 | 309 | +11.2% |
| Maryland | $151 | $497 | 249 | 808 | +10.5% |
| Maine | $149 | $587 | 15 | 23 | +8.4% |
| Massachusetts | $145 | $440 | 347 | 1,087 | +5.5% |
| Connecticut | $144 | $388 | 65 | 192 | +4.8% |
| Texas | $141 | $224 | 275 | 2,396 | +2.6% |
| Washington | $139 | $386 | 223 | 459 | +1.2% |
| New York | $137 | $375 | 265 | 3,844 | +0.2% |
| Virginia | $137 | $293 | 114 | 667 | +0.1% |
| Delaware | $137 | $216 | 13 | 39 | -0.1% |
| Montana | $136 | $333 | 44 | 143 | -0.5% |
| Arizona | $136 | $332 | 414 | 1,818 | -0.9% |
| Minnesota | $136 | $202 | 73 | 641 | -1.1% |
| Florida | $135 | $305 | 385 | 1,741 | -1.2% |
| South Carolina | $135 | $352 | 77 | 200 | -1.5% |
| Illinois | $134 | $422 | 167 | 307 | -2.5% |
| Ohio | $133 | $298 | 126 | 258 | -3.0% |
| North Carolina | $132 | $343 | 125 | 230 | -3.7% |
| Missouri | $132 | $308 | 160 | 320 | -3.7% |
| New Mexico | $132 | $374 | 16 | 31 | -3.9% |
| Colorado | $130 | $331 | 139 | 344 | -5.3% |
| Indiana | $130 | $321 | 5 | 15 | -5.4% |
| Michigan | $129 | $292 | 237 | 793 | -5.7% |
| Arkansas | $129 | $300 | 65 | 104 | -6.0% |
| Pennsylvania | $129 | $405 | 341 | 1,392 | -6.2% |
| Wisconsin | $127 | $456 | 220 | 861 | -7.1% |
| Oklahoma | $125 | $213 | 64 | 289 | -8.6% |
| Tennessee | $125 | $258 | 28 | 264 | -8.8% |
| Georgia | $125 | $384 | 79 | 1,014 | -8.8% |
| Vermont | $121 | $291 | 6 | 88 | -12.0% |
| Utah | $120 | $260 | 116 | 178 | -12.7% |
| Oregon | $118 | $398 | 30 | 56 | -13.8% |
| West Virginia | $117 | $365 | 9 | 13 | -14.4% |
| New Hampshire | $111 | $317 | 21 | 41 | -19.2% |
| Louisiana | $105 | $449 | 2 | 11 | -23.1% |
| Kentucky | $105 | $274 | 9 | 13 | -23.6% |
| Idaho | $97 | $200 | 12 | 32 | -29.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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