Advance care planning, each additional 30 minutes
Medicare pricing data for 8,982 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
Advance care planning, each additional 30 minutes (HCPCS code 99498) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $66.75, but hospitals typically charge $193.77 — a 2.9x 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 $66.75, your out-of-pocket cost would be approximately $13.35. 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 2.9x more than what Medicare allows for this procedure. Medicare actually pays $53.25 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $84 | $319 | 30 | 175 | +26.5% |
| New York | $75 | $277 | 814 | 10,462 | +11.9% |
| District of Columbia | $74 | $197 | 55 | 657 | +10.4% |
| California | $72 | $259 | 750 | 8,897 | +8.0% |
| Hawaii | $72 | $191 | 39 | 724 | +7.9% |
| Washington | $69 | $199 | 270 | 1,625 | +3.3% |
| Massachusetts | $68 | $184 | 379 | 3,291 | +2.2% |
| New Mexico | $68 | $241 | 35 | 236 | +1.6% |
| Connecticut | $68 | $169 | 168 | 926 | +1.5% |
| Maryland | $67 | $176 | 278 | 5,511 | +1.0% |
| Virginia | $67 | $153 | 275 | 3,185 | +1.0% |
| Illinois | $67 | $163 | 312 | 2,170 | +0.3% |
| New Jersey | $66 | $220 | 290 | 3,025 | -0.5% |
| Montana | $66 | $210 | 18 | 79 | -1.3% |
| Oregon | $66 | $224 | 111 | 536 | -1.5% |
| Maine | $65 | $232 | 49 | 152 | -2.2% |
| Arizona | $65 | $150 | 135 | 1,585 | -2.3% |
| Florida | $65 | $130 | 419 | 5,779 | -3.0% |
| Georgia | $65 | $174 | 144 | 1,364 | -3.3% |
| New Hampshire | $65 | $183 | 65 | 426 | -3.3% |
| Texas | $65 | $178 | 546 | 5,788 | -3.3% |
| Pennsylvania | $64 | $165 | 499 | 3,847 | -3.7% |
| Delaware | $64 | $229 | 21 | 157 | -3.8% |
| Kansas | $64 | $152 | 108 | 698 | -4.0% |
| Louisiana | $63 | $155 | 111 | 673 | -5.0% |
| Michigan | $63 | $164 | 275 | 1,877 | -5.0% |
| Nevada | $63 | $177 | 88 | 797 | -5.4% |
| Missouri | $63 | $184 | 166 | 1,013 | -5.5% |
| Colorado | $63 | $177 | 145 | 1,455 | -5.9% |
| Rhode Island | $63 | $137 | 75 | 720 | -6.4% |
| North Carolina | $62 | $156 | 450 | 3,198 | -6.4% |
| South Carolina | $62 | $153 | 184 | 1,073 | -6.5% |
| Vermont | $62 | $130 | 24 | 131 | -6.6% |
| West Virginia | $62 | $162 | 30 | 78 | -6.7% |
| Kentucky | $62 | $145 | 122 | 460 | -7.2% |
| Wisconsin | $62 | $271 | 113 | 664 | -7.3% |
| Ohio | $62 | $207 | 342 | 1,915 | -7.6% |
| Alabama | $62 | $134 | 47 | 227 | -7.6% |
| Minnesota | $62 | $237 | 214 | 1,135 | -7.6% |
| Utah | $61 | $131 | 100 | 1,252 | -8.4% |
| Idaho | $61 | $175 | 28 | 122 | -9.0% |
| North Dakota | $61 | $210 | 17 | 38 | -9.0% |
| Oklahoma | $61 | $170 | 52 | 480 | -9.3% |
| Indiana | $60 | $172 | 185 | 1,551 | -10.0% |
| Wyoming | $60 | $198 | 11 | 418 | -10.1% |
| South Dakota | $60 | $89 | 15 | 198 | -10.1% |
| Tennessee | $59 | $127 | 174 | 1,317 | -11.9% |
| Iowa | $58 | $172 | 55 | 491 | -12.4% |
| Mississippi | $58 | $122 | 31 | 152 | -12.7% |
| Arkansas | $58 | $128 | 45 | 450 | -13.3% |
| Nebraska | $54 | $159 | 59 | 248 | -19.0% |
⚠️ 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