G0408

Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth

Medicare pricing data for 1,242 providers across 41 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

Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth (HCPCS code G0408) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $98.59, but hospitals typically charge $238.47 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$19.72

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $98.59, your out-of-pocket cost would be approximately $19.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$98.59
Average Hospital Charge
$238.47
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$238.47
Medicare Allowed$98.59
Medicare Payment$78.02

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $78.02 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Rhode Island$113$264111+14.1%
Hawaii$112$3201108+13.8%
Connecticut$111$311683+12.8%
Oregon$110$31520269+11.2%
New Jersey$109$254965+10.9%
California$109$269801,201+10.5%
Maryland$108$21724125+9.4%
Illinois$107$26623162+8.5%
Michigan$105$163361,378+6.5%
New Hampshire$105$666219+6.3%
New York$105$25352676+6.3%
Virginia$105$26525251+6.1%
Massachusetts$104$29015107+5.9%
District of Columbia$104$273216+5.8%
Alabama$104$252314+5.5%
Indiana$104$25923334+5.4%
Arizona$102$43612124+3.9%
Florida$102$2791602,595+3.7%
New Mexico$102$1981169+3.6%
Colorado$102$38718103+3.5%
Georgia$102$27330640+3.2%
Ohio$101$32545458+2.4%
Minnesota$100$26432284+1.6%
South Dakota$100$12417501+1.2%
Pennsylvania$99$25386867+0.7%
Missouri$99$25526326+0.2%
Nebraska$98$24216300-0.6%
Texas$98$2251513,715-0.9%
Kansas$98$280344-1.0%
Nevada$97$24010155-1.1%
Wisconsin$97$36824173-1.9%
South Carolina$96$2761241-2.5%
Washington$96$23423339-2.7%
Kentucky$96$3345403-3.0%
North Carolina$95$26037335-3.9%
Louisiana$92$16234717-6.7%
Oklahoma$91$194302,034-7.3%
Tennessee$89$184531,292-9.7%
Arkansas$84$15713392-14.6%
Iowa$84$31216584-14.9%
Mississippi$83$210525-15.7%

⚠️ 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

💊 Need post-procedure medications? Check costs on OpenPrescriber