Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth
Medicare pricing data for 1,301 providers across 42 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
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth (HCPCS code G0407) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $66.39, but hospitals typically charge $152.11 — a 2.3x 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 $66.39, your out-of-pocket cost would be approximately $13.28. 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 2.3x more than what Medicare allows for this procedure. Medicare actually pays $52.35 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $77 | $201 | 9 | 124 | +15.4% |
| California | $74 | $150 | 75 | 1,166 | +11.8% |
| New York | $74 | $199 | 36 | 566 | +11.3% |
| Illinois | $73 | $146 | 39 | 808 | +9.9% |
| Maryland | $72 | $178 | 19 | 185 | +8.0% |
| New Jersey | $71 | $176 | 27 | 284 | +7.6% |
| Florida | $71 | $202 | 129 | 3,483 | +7.4% |
| Washington | $71 | $211 | 21 | 272 | +7.0% |
| Puerto Rico | $71 | $169 | 2 | 36 | +6.5% |
| Massachusetts | $71 | $182 | 7 | 52 | +6.3% |
| Georgia | $70 | $208 | 33 | 269 | +5.7% |
| Arizona | $70 | $275 | 11 | 35 | +5.4% |
| Virginia | $70 | $199 | 21 | 246 | +5.4% |
| West Virginia | $70 | $208 | 15 | 106 | +4.9% |
| Indiana | $69 | $196 | 13 | 595 | +4.6% |
| Pennsylvania | $69 | $175 | 103 | 890 | +4.6% |
| Minnesota | $69 | $175 | 30 | 255 | +3.5% |
| Ohio | $68 | $222 | 54 | 576 | +3.0% |
| Colorado | $68 | $227 | 19 | 154 | +2.8% |
| Alabama | $68 | $154 | 6 | 32 | +2.6% |
| South Carolina | $68 | $221 | 21 | 123 | +2.5% |
| South Dakota | $68 | $84 | 20 | 554 | +2.4% |
| Oregon | $68 | $197 | 26 | 294 | +2.0% |
| Nebraska | $67 | $168 | 25 | 388 | +0.7% |
| Utah | $67 | $205 | 4 | 19 | +0.5% |
| District of Columbia | $67 | $191 | 2 | 21 | +0.2% |
| Missouri | $66 | $181 | 27 | 313 | +0.1% |
| North Carolina | $66 | $185 | 41 | 535 | -0.4% |
| New Mexico | $66 | $101 | 5 | 47 | -0.5% |
| Texas | $66 | $130 | 182 | 3,996 | -0.9% |
| Michigan | $66 | $143 | 33 | 911 | -1.3% |
| Louisiana | $65 | $115 | 30 | 1,390 | -2.2% |
| Kentucky | $65 | $152 | 9 | 40 | -2.4% |
| Nevada | $64 | $135 | 10 | 550 | -3.0% |
| Wisconsin | $64 | $273 | 27 | 122 | -3.4% |
| Kansas | $63 | $91 | 2 | 78 | -4.8% |
| Iowa | $62 | $138 | 21 | 219 | -6.3% |
| North Dakota | $61 | $205 | 4 | 13 | -8.0% |
| Mississippi | $61 | $96 | 8 | 167 | -8.6% |
| Tennessee | $60 | $124 | 53 | 2,864 | -10.1% |
| Arkansas | $59 | $119 | 14 | 701 | -10.6% |
| Oklahoma | $59 | $103 | 33 | 2,527 | -11.4% |
⚠️ 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