Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a
Medicare pricing data for 45,467 providers across 52 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
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS code G0179) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.12, but hospitals typically charge $89.97 — a 2.2x 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 $40.12, your out-of-pocket cost would be approximately $8.02. 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 2.2x more than what Medicare allows for this procedure. Medicare actually pays $30.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $46 | $117 | 49 | 332 | +15.5% |
| New York | $46 | $112 | 2,053 | 22,280 | +14.9% |
| Hawaii | $46 | $108 | 8 | 108 | +14.5% |
| Alaska | $46 | $138 | 19 | 182 | +14.2% |
| New Jersey | $45 | $92 | 615 | 4,392 | +12.5% |
| California | $44 | $87 | 2,327 | 84,939 | +9.5% |
| Connecticut | $44 | $115 | 927 | 9,558 | +9.0% |
| Massachusetts | $44 | $129 | 1,681 | 14,766 | +8.9% |
| Washington | $43 | $98 | 818 | 5,310 | +6.0% |
| Illinois | $43 | $88 | 1,775 | 30,171 | +6.0% |
| Rhode Island | $42 | $114 | 107 | 522 | +5.5% |
| Maryland | $42 | $97 | 513 | 4,351 | +5.1% |
| Montana | $41 | $92 | 38 | 120 | +2.8% |
| New Hampshire | $41 | $155 | 315 | 1,618 | +2.8% |
| Colorado | $41 | $93 | 409 | 4,058 | +2.3% |
| Delaware | $41 | $95 | 200 | 1,361 | +1.4% |
| Wyoming | $41 | $105 | 14 | 152 | +1.1% |
| Pennsylvania | $40 | $98 | 1,944 | 8,804 | -0.4% |
| Oregon | $40 | $110 | 206 | 1,086 | -0.7% |
| Virginia | $40 | $82 | 1,139 | 8,453 | -0.9% |
| Puerto Rico | $40 | $46 | 10 | 26 | -1.0% |
| South Dakota | $40 | $105 | 100 | 712 | -1.2% |
| Florida | $40 | $83 | 3,918 | 56,528 | -1.4% |
| Maine | $39 | $116 | 149 | 527 | -1.7% |
| Missouri | $39 | $88 | 354 | 1,417 | -1.8% |
| North Dakota | $39 | $133 | 132 | 637 | -1.8% |
| Minnesota | $39 | $134 | 1,477 | 7,790 | -2.0% |
| Texas | $39 | $83 | 4,177 | 106,892 | -2.2% |
| Michigan | $39 | $81 | 1,363 | 8,349 | -2.2% |
| Georgia | $39 | $102 | 999 | 10,711 | -2.2% |
| Nevada | $39 | $79 | 193 | 8,962 | -2.2% |
| Vermont | $39 | $95 | 207 | 1,259 | -2.4% |
| Wisconsin | $39 | $153 | 744 | 3,406 | -3.0% |
| Arizona | $39 | $85 | 522 | 4,221 | -3.9% |
| South Carolina | $38 | $94 | 976 | 7,737 | -4.9% |
| Ohio | $38 | $95 | 2,684 | 25,041 | -5.5% |
| Louisiana | $38 | $89 | 1,678 | 22,584 | -5.6% |
| Utah | $38 | $85 | 322 | 3,322 | -5.7% |
| New Mexico | $38 | $87 | 156 | 1,197 | -5.9% |
| Nebraska | $38 | $95 | 157 | 852 | -6.0% |
| Indiana | $38 | $85 | 809 | 7,474 | -6.3% |
| North Carolina | $38 | $98 | 1,961 | 14,901 | -6.4% |
| Alabama | $37 | $73 | 1,193 | 15,260 | -6.7% |
| Iowa | $37 | $96 | 379 | 2,116 | -6.7% |
| West Virginia | $37 | $91 | 222 | 1,819 | -7.3% |
| Tennessee | $37 | $85 | 1,538 | 20,712 | -7.4% |
| Kansas | $37 | $79 | 313 | 3,259 | -7.6% |
| Kentucky | $37 | $81 | 809 | 6,307 | -7.6% |
| Oklahoma | $37 | $80 | 1,161 | 26,090 | -7.9% |
| Idaho | $37 | $79 | 237 | 1,458 | -8.0% |
| Arkansas | $37 | $86 | 457 | 5,028 | -8.4% |
| Mississippi | $36 | $82 | 882 | 16,562 | -10.2% |
⚠️ 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