G0182

Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien

Medicare pricing data for 1,673 providers across 45 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

Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien (HCPCS code G0182) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $99.33, but hospitals typically charge $180.46 — a 1.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$19.87

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $99.33, your out-of-pocket cost would be approximately $19.87. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$99.33
Average Hospital Charge
$180.46
Markup Ratio
1.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$180.46
Medicare Allowed$99.33
Medicare Payment$75.82

Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $75.82 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$111$17514810,360+11.3%
New York$109$19297719+9.8%
Connecticut$109$23427215+9.6%
Massachusetts$108$21656821+9.1%
Hawaii$108$306242+9.1%
Illinois$108$20276545+8.5%
Rhode Island$106$213718+7.1%
New Hampshire$105$2355138+5.3%
Maine$104$281826+4.9%
Montana$104$222856+4.5%
North Dakota$102$2763193+3.1%
New Jersey$102$1861441,332+3.1%
Delaware$102$188228+2.9%
Maryland$101$16134279+2.1%
Virginia$101$19952236+1.8%
Vermont$101$3041933+1.5%
Michigan$101$18874657+1.4%
Georgia$100$17334171+0.8%
Wisconsin$100$16024475+0.6%
Minnesota$100$259623+0.3%
Kentucky$99$120345-0.6%
Nebraska$98$204564-1.7%
Alabama$97$1442697-2.4%
Missouri$96$19125184-3.0%
North Carolina$96$23259357-3.1%
Colorado$96$157823-3.8%
Mississippi$95$1681250-4.2%
Pennsylvania$95$1451042,102-4.3%
Arkansas$95$1221099-4.3%
Nevada$94$178621-5.3%
Ohio$94$164531,048-5.5%
Washington$94$14425424-5.6%
West Virginia$93$123737-6.1%
Florida$92$163991,702-7.1%
Texas$91$164672,965-7.9%
Oregon$90$18212121-9.5%
Kansas$90$19528758-9.6%
Indiana$90$15450530-9.6%
Utah$89$13511461-10.2%
Tennessee$88$16621276-11.3%
Louisiana$87$1621746-12.1%
Arizona$87$225814,227-12.8%
New Mexico$86$268334-13.0%
Oklahoma$85$15034426-14.6%
South Carolina$84$15010508-15.3%

⚠️ 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

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