Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth
Medicare pricing data for 2,815 providers across 46 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
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth (HCPCS code G0426) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $124.10, but hospitals typically charge $349.31 — a 2.8x 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 $124.10, your out-of-pocket cost would be approximately $24.82. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $97.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $148 | $390 | 2 | 22 | +19.0% |
| District of Columbia | $139 | $363 | 3 | 57 | +11.9% |
| Rhode Island | $137 | $352 | 4 | 148 | +10.4% |
| Maryland | $135 | $340 | 49 | 285 | +8.4% |
| Washington | $133 | $394 | 46 | 656 | +7.0% |
| California | $132 | $368 | 161 | 2,057 | +6.2% |
| New Mexico | $130 | $268 | 6 | 55 | +4.9% |
| Florida | $130 | $388 | 298 | 3,701 | +4.9% |
| Illinois | $130 | $374 | 62 | 590 | +4.7% |
| Massachusetts | $129 | $392 | 40 | 228 | +3.9% |
| Connecticut | $128 | $357 | 16 | 191 | +3.4% |
| Colorado | $128 | $396 | 77 | 485 | +3.2% |
| Oregon | $128 | $396 | 42 | 378 | +3.1% |
| Utah | $127 | $320 | 29 | 204 | +2.7% |
| Virginia | $127 | $334 | 69 | 1,112 | +2.3% |
| Vermont | $126 | $431 | 5 | 17 | +1.8% |
| West Virginia | $126 | $386 | 35 | 134 | +1.5% |
| New Jersey | $126 | $316 | 41 | 509 | +1.5% |
| Michigan | $126 | $327 | 148 | 1,045 | +1.2% |
| Indiana | $125 | $346 | 53 | 315 | +1.1% |
| Missouri | $125 | $380 | 81 | 1,323 | +0.9% |
| Alabama | $125 | $338 | 22 | 247 | +0.8% |
| Georgia | $125 | $359 | 89 | 854 | +0.7% |
| Hawaii | $125 | $282 | 11 | 133 | +0.7% |
| Oklahoma | $125 | $295 | 43 | 531 | +0.7% |
| South Dakota | $124 | $296 | 16 | 64 | +0.0% |
| Wisconsin | $124 | $529 | 53 | 309 | -0.1% |
| Arkansas | $124 | $351 | 17 | 357 | -0.2% |
| Louisiana | $124 | $310 | 46 | 388 | -0.3% |
| Puerto Rico | $124 | $303 | 8 | 145 | -0.4% |
| Idaho | $124 | $348 | 2 | 23 | -0.4% |
| Ohio | $123 | $538 | 116 | 1,138 | -0.6% |
| Pennsylvania | $123 | $357 | 221 | 1,846 | -0.6% |
| Texas | $123 | $316 | 238 | 3,353 | -0.7% |
| Kansas | $123 | $683 | 4 | 21 | -0.7% |
| Iowa | $123 | $369 | 20 | 141 | -0.9% |
| Arizona | $122 | $340 | 28 | 402 | -1.7% |
| Nebraska | $121 | $285 | 31 | 128 | -2.6% |
| New York | $121 | $305 | 124 | 8,662 | -2.6% |
| Minnesota | $120 | $393 | 117 | 577 | -3.6% |
| South Carolina | $119 | $437 | 61 | 783 | -3.8% |
| North Carolina | $119 | $332 | 95 | 1,329 | -4.1% |
| Kentucky | $118 | $355 | 12 | 301 | -4.7% |
| Tennessee | $117 | $327 | 99 | 1,300 | -6.0% |
| Nevada | $115 | $325 | 13 | 995 | -7.4% |
| Mississippi | $109 | $306 | 12 | 57 | -12.2% |
⚠️ 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