Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes
Medicare pricing data for 5,400 providers across 42 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
Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes (HCPCS code 99493) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $130.71, but hospitals typically charge $317.65 — a 2.4x 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 $130.71, your out-of-pocket cost would be approximately $26.14. 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 2.4x more than what Medicare allows for this procedure. Medicare actually pays $102.19 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $155 | $321 | 29 | 314 | +18.8% |
| California | $151 | $455 | 411 | 6,876 | +15.8% |
| Hawaii | $144 | $217 | 2 | 21 | +10.5% |
| New Jersey | $142 | $330 | 106 | 1,765 | +8.8% |
| Massachusetts | $142 | $355 | 301 | 2,499 | +8.4% |
| Maryland | $142 | $434 | 279 | 3,649 | +8.4% |
| Maine | $141 | $496 | 11 | 58 | +7.9% |
| Vermont | $138 | $356 | 4 | 99 | +5.4% |
| Connecticut | $135 | $366 | 61 | 418 | +3.1% |
| Delaware | $135 | $178 | 12 | 86 | +3.0% |
| New Hampshire | $134 | $350 | 9 | 21 | +2.4% |
| Indiana | $134 | $264 | 9 | 41 | +2.4% |
| Washington | $133 | $368 | 243 | 1,518 | +1.8% |
| Alabama | $131 | $261 | 8 | 50 | -0.0% |
| Arizona | $131 | $279 | 419 | 6,134 | -0.1% |
| Montana | $130 | $329 | 57 | 321 | -0.5% |
| Minnesota | $128 | $194 | 105 | 3,508 | -1.7% |
| Virginia | $128 | $269 | 134 | 4,011 | -1.8% |
| Pennsylvania | $128 | $322 | 379 | 5,457 | -2.0% |
| Texas | $128 | $348 | 299 | 2,972 | -2.0% |
| South Carolina | $128 | $313 | 66 | 437 | -2.1% |
| North Dakota | $128 | $326 | 3 | 36 | -2.3% |
| Illinois | $128 | $335 | 175 | 924 | -2.3% |
| Kentucky | $128 | $183 | 5 | 57 | -2.3% |
| New York | $128 | $357 | 322 | 10,947 | -2.3% |
| Florida | $127 | $247 | 398 | 7,076 | -2.5% |
| Ohio | $127 | $235 | 142 | 1,105 | -2.5% |
| North Carolina | $127 | $276 | 136 | 995 | -2.6% |
| Michigan | $127 | $260 | 276 | 4,385 | -2.6% |
| Colorado | $127 | $271 | 121 | 781 | -3.0% |
| Missouri | $126 | $262 | 172 | 1,056 | -3.8% |
| Wisconsin | $122 | $318 | 217 | 2,772 | -6.9% |
| Arkansas | $120 | $226 | 74 | 454 | -8.1% |
| Utah | $120 | $228 | 103 | 350 | -8.2% |
| Georgia | $119 | $370 | 86 | 2,371 | -8.7% |
| West Virginia | $119 | $309 | 15 | 60 | -9.0% |
| Tennessee | $118 | $206 | 26 | 1,359 | -9.7% |
| New Mexico | $118 | $297 | 10 | 51 | -10.0% |
| Oklahoma | $116 | $203 | 52 | 1,153 | -11.1% |
| Mississippi | $114 | $154 | 11 | 116 | -12.4% |
| Oregon | $114 | $381 | 30 | 175 | -12.6% |
| Idaho | $100 | $178 | 23 | 288 | -23.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber