G0108

Diabetes outpatient self-management training services, individual, per 30 minutes

Medicare pricing data for 3,407 providers across 50 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

Diabetes outpatient self-management training services, individual, per 30 minutes (HCPCS code G0108) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $54.39, but hospitals typically charge $149.74 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$10.88

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $54.39, your out-of-pocket cost would be approximately $10.88. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$54.39
Average Hospital Charge
$149.74
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$149.74
Medicare Allowed$54.39
Medicare Payment$39.96

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $39.96 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$71$1835118+30.3%
District of Columbia$61$1356251+12.7%
New York$59$2051998,277+8.1%
California$59$12633418,506+7.6%
New Jersey$57$147442,135+5.6%
Connecticut$57$15513346+5.1%
Rhode Island$56$115772+3.1%
Hawaii$56$1458535+2.8%
Massachusetts$56$1801055,727+2.8%
Maryland$56$109384,592+2.2%
Colorado$55$133471,103+1.6%
Washington$55$153915,085+0.9%
Virginia$55$97302,479+0.9%
New Hampshire$55$16810439+0.7%
Illinois$55$1411319,282+0.7%
Montana$54$9422712+0.0%
Delaware$54$975257-0.0%
Florida$54$1081524,473-0.2%
North Dakota$54$132501,454-0.6%
Wyoming$54$11915793-0.7%
Nevada$54$93652,969-0.8%
Oregon$54$155522,063-0.9%
Minnesota$54$19139012,584-1.5%
South Dakota$53$541176-2.0%
Texas$53$138893,329-2.2%
Pennsylvania$53$1261014,254-3.1%
Missouri$53$119312,276-3.4%
Ohio$52$112663,084-3.8%
New Mexico$52$11011478-4.0%
North Carolina$52$149893,508-4.1%
Wisconsin$52$26351112,126-4.4%
Arizona$52$110782,073-4.4%
Michigan$52$13245890-4.5%
Georgia$52$127711,703-4.6%
South Carolina$52$117161,462-4.9%
Louisiana$52$116631,702-5.3%
Indiana$51$94572,736-5.4%
Kansas$51$104262,235-5.7%
Kentucky$51$10314516-5.8%
Iowa$51$130572,183-6.0%
Idaho$51$106251,049-6.1%
Oklahoma$51$717491-6.2%
Nebraska$51$148401,998-6.5%
Tennessee$51$116272,622-6.5%
Puerto Rico$51$92262-6.7%
Maine$50$11811112-7.2%
Mississippi$50$807439-7.6%
Arkansas$50$11025499-7.7%
Alabama$50$10351299-7.9%
Utah$50$8027736-7.9%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber