Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth
Medicare pricing data for 2,157 providers across 47 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 70 minutes or more communicating with the patient via telehealth (HCPCS code G0427) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $179.72, but hospitals typically charge $522.27 — a 2.9x 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 $179.72, your out-of-pocket cost would be approximately $35.94. 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 2.9x more than what Medicare allows for this procedure. Medicare actually pays $141.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $202 | $492 | 9 | 35 | +12.2% |
| District of Columbia | $199 | $535 | 4 | 92 | +10.8% |
| Rhode Island | $196 | $516 | 3 | 463 | +8.9% |
| New York | $195 | $533 | 80 | 859 | +8.7% |
| New Jersey | $195 | $595 | 31 | 322 | +8.4% |
| Hawaii | $194 | $599 | 6 | 135 | +7.8% |
| California | $193 | $719 | 114 | 1,305 | +7.3% |
| Maryland | $191 | $456 | 49 | 451 | +6.5% |
| Illinois | $189 | $549 | 40 | 685 | +5.2% |
| Massachusetts | $189 | $605 | 30 | 194 | +5.0% |
| Oregon | $186 | $590 | 42 | 422 | +3.5% |
| Florida | $185 | $517 | 213 | 2,860 | +2.9% |
| Indiana | $185 | $504 | 41 | 283 | +2.8% |
| Alabama | $183 | $797 | 5 | 127 | +1.9% |
| Virginia | $183 | $710 | 40 | 530 | +1.9% |
| Montana | $183 | $489 | 5 | 55 | +1.9% |
| Georgia | $183 | $550 | 69 | 1,344 | +1.8% |
| Colorado | $183 | $597 | 49 | 240 | +1.8% |
| New Hampshire | $181 | $843 | 7 | 12 | +0.8% |
| Washington | $180 | $528 | 32 | 332 | +0.0% |
| Wisconsin | $180 | $657 | 31 | 344 | -0.0% |
| Kansas | $179 | $856 | 5 | 11 | -0.2% |
| Michigan | $179 | $451 | 87 | 740 | -0.6% |
| Puerto Rico | $178 | $603 | 2 | 29 | -0.8% |
| Missouri | $178 | $605 | 75 | 514 | -1.0% |
| South Dakota | $177 | $220 | 23 | 671 | -1.4% |
| Oklahoma | $177 | $371 | 49 | 1,105 | -1.5% |
| Texas | $177 | $473 | 198 | 3,587 | -1.7% |
| Idaho | $177 | $514 | 1 | 92 | -1.8% |
| Arizona | $176 | $555 | 29 | 320 | -1.8% |
| Pennsylvania | $176 | $520 | 183 | 1,239 | -1.9% |
| Minnesota | $176 | $588 | 104 | 727 | -2.1% |
| Ohio | $176 | $633 | 113 | 1,600 | -2.1% |
| New Mexico | $175 | $356 | 10 | 217 | -2.6% |
| Nebraska | $175 | $484 | 26 | 316 | -2.7% |
| North Dakota | $175 | $519 | 3 | 109 | -2.8% |
| Kentucky | $173 | $501 | 6 | 101 | -3.5% |
| North Carolina | $173 | $527 | 58 | 756 | -3.5% |
| West Virginia | $170 | $570 | 12 | 25 | -5.6% |
| South Carolina | $168 | $616 | 45 | 478 | -6.4% |
| Utah | $168 | $511 | 8 | 179 | -6.7% |
| Iowa | $167 | $493 | 16 | 128 | -7.0% |
| Nevada | $167 | $443 | 11 | 442 | -7.4% |
| Tennessee | $166 | $445 | 80 | 1,262 | -7.8% |
| Louisiana | $165 | $418 | 45 | 603 | -8.1% |
| Arkansas | $154 | $318 | 16 | 131 | -14.6% |
| Mississippi | $144 | $437 | 6 | 56 | -19.9% |
⚠️ 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