99493

Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes

Medicare pricing data for 5,400 providers across 42 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

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

$26.14

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.

Average Allowed Cost
$130.71
Average Hospital Charge
$317.65
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$317.65
Medicare Allowed$130.71
Medicare Payment$102.19

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$155$32129314+18.8%
California$151$4554116,876+15.8%
Hawaii$144$217221+10.5%
New Jersey$142$3301061,765+8.8%
Massachusetts$142$3553012,499+8.4%
Maryland$142$4342793,649+8.4%
Maine$141$4961158+7.9%
Vermont$138$356499+5.4%
Connecticut$135$36661418+3.1%
Delaware$135$1781286+3.0%
New Hampshire$134$350921+2.4%
Indiana$134$264941+2.4%
Washington$133$3682431,518+1.8%
Alabama$131$261850-0.0%
Arizona$131$2794196,134-0.1%
Montana$130$32957321-0.5%
Minnesota$128$1941053,508-1.7%
Virginia$128$2691344,011-1.8%
Pennsylvania$128$3223795,457-2.0%
Texas$128$3482992,972-2.0%
South Carolina$128$31366437-2.1%
North Dakota$128$326336-2.3%
Illinois$128$335175924-2.3%
Kentucky$128$183557-2.3%
New York$128$35732210,947-2.3%
Florida$127$2473987,076-2.5%
Ohio$127$2351421,105-2.5%
North Carolina$127$276136995-2.6%
Michigan$127$2602764,385-2.6%
Colorado$127$271121781-3.0%
Missouri$126$2621721,056-3.8%
Wisconsin$122$3182172,772-6.9%
Arkansas$120$22674454-8.1%
Utah$120$228103350-8.2%
Georgia$119$370862,371-8.7%
West Virginia$119$3091560-9.0%
Tennessee$118$206261,359-9.7%
New Mexico$118$2971051-10.0%
Oklahoma$116$203521,153-11.1%
Mississippi$114$15411116-12.4%
Oregon$114$38130175-12.6%
Idaho$100$17823288-23.5%

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

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