Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes
Medicare pricing data for 743 providers across 36 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
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes (HCPCS code G0109) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $15.30, but hospitals typically charge $44.05 — 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 $15.30, your out-of-pocket cost would be approximately $3.06. 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 $11.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $17 | $47 | 46 | 2,724 | +12.0% |
| New York | $17 | $60 | 16 | 259 | +9.3% |
| Hawaii | $16 | $26 | 3 | 315 | +6.1% |
| Maryland | $16 | $35 | 23 | 3,481 | +4.9% |
| Colorado | $16 | $45 | 6 | 315 | +3.7% |
| New Jersey | $16 | $19 | 11 | 2,622 | +2.0% |
| Virginia | $16 | $39 | 19 | 2,435 | +2.0% |
| New Hampshire | $16 | $49 | 2 | 47 | +1.8% |
| Massachusetts | $16 | $74 | 10 | 262 | +1.6% |
| Illinois | $16 | $58 | 47 | 2,009 | +1.5% |
| Delaware | $15 | $94 | 4 | 290 | +1.2% |
| Washington | $15 | $46 | 27 | 1,015 | +1.2% |
| Florida | $15 | $56 | 78 | 6,386 | +0.8% |
| Pennsylvania | $15 | $48 | 26 | 1,427 | 0.0% |
| Minnesota | $15 | $49 | 38 | 637 | -0.3% |
| Arizona | $15 | $35 | 43 | 601 | -1.3% |
| Oregon | $15 | $45 | 11 | 388 | -1.8% |
| Georgia | $15 | $41 | 42 | 2,084 | -2.2% |
| Missouri | $15 | $36 | 7 | 765 | -2.4% |
| Wisconsin | $15 | $85 | 34 | 916 | -2.5% |
| South Carolina | $15 | $53 | 8 | 1,237 | -2.9% |
| New Mexico | $15 | $44 | 2 | 88 | -3.6% |
| North Carolina | $15 | $43 | 40 | 2,934 | -3.7% |
| Ohio | $15 | $42 | 22 | 2,803 | -3.8% |
| Indiana | $15 | $29 | 24 | 1,187 | -4.0% |
| Kentucky | $15 | $34 | 11 | 436 | -4.0% |
| Texas | $15 | $47 | 29 | 1,472 | -4.2% |
| Iowa | $15 | $33 | 3 | 114 | -4.6% |
| Louisiana | $15 | $23 | 6 | 31 | -4.6% |
| Tennessee | $15 | $43 | 10 | 1,890 | -5.2% |
| Kansas | $15 | $31 | 25 | 1,256 | -5.2% |
| Mississippi | $14 | $39 | 3 | 247 | -5.4% |
| Alabama | $14 | $36 | 3 | 232 | -5.6% |
| Oklahoma | $14 | $25 | 5 | 302 | -6.2% |
| Arkansas | $14 | $37 | 6 | 313 | -6.5% |
| Idaho | $14 | $38 | 7 | 212 | -7.4% |
⚠️ 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