Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth
Medicare pricing data for 519 providers across 37 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth (HCPCS code G0406) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.80, but hospitals typically charge $101.85 — a 2.6x 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 $39.80, your out-of-pocket cost would be approximately $7.96. 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 2.6x more than what Medicare allows for this procedure. Medicare actually pays $31.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Washington | $45 | $120 | 10 | 70 | +13.1% |
| New Jersey | $44 | $97 | 9 | 26 | +10.0% |
| Illinois | $43 | $181 | 17 | 456 | +8.9% |
| California | $43 | $81 | 32 | 671 | +8.6% |
| Pennsylvania | $43 | $107 | 23 | 438 | +8.1% |
| West Virginia | $42 | $124 | 2 | 75 | +6.7% |
| Utah | $42 | $123 | 5 | 340 | +5.5% |
| New York | $42 | $115 | 20 | 427 | +5.4% |
| Florida | $42 | $110 | 69 | 1,256 | +4.4% |
| Maryland | $41 | $129 | 5 | 19 | +2.2% |
| Alabama | $40 | $83 | 5 | 16 | +1.2% |
| South Carolina | $40 | $126 | 9 | 26 | +0.7% |
| Missouri | $40 | $104 | 9 | 99 | +0.6% |
| South Dakota | $40 | $104 | 4 | 34 | +0.3% |
| Virginia | $40 | $115 | 9 | 89 | +0.2% |
| Indiana | $39 | $112 | 6 | 35 | -0.9% |
| Ohio | $39 | $119 | 17 | 56 | -1.2% |
| Georgia | $39 | $119 | 17 | 277 | -1.3% |
| Colorado | $39 | $98 | 8 | 88 | -2.1% |
| Louisiana | $39 | $61 | 9 | 271 | -2.8% |
| Texas | $39 | $92 | 65 | 394 | -3.1% |
| Arizona | $38 | $101 | 6 | 14 | -3.4% |
| Tennessee | $38 | $109 | 22 | 216 | -3.7% |
| Minnesota | $38 | $125 | 10 | 30 | -4.9% |
| Nebraska | $38 | $91 | 10 | 47 | -5.8% |
| North Carolina | $37 | $136 | 20 | 371 | -6.1% |
| Michigan | $37 | $63 | 23 | 264 | -7.5% |
| Wisconsin | $36 | $148 | 6 | 17 | -9.3% |
| Nevada | $36 | $41 | 8 | 499 | -10.6% |
| Montana | $35 | $148 | 3 | 21 | -12.4% |
| Arkansas | $35 | $69 | 8 | 199 | -13.0% |
| Iowa | $34 | $67 | 6 | 81 | -13.7% |
| North Dakota | $34 | $111 | 3 | 32 | -14.0% |
| Oklahoma | $34 | $62 | 16 | 258 | -14.2% |
| Kentucky | $34 | $152 | 4 | 152 | -15.6% |
| Mississippi | $33 | $52 | 4 | 61 | -17.5% |
| Kansas | $33 | $48 | 2 | 22 | -18.1% |
⚠️ 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