Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes
Medicare pricing data for 6,111 providers across 50 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
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes (HCPCS code G0446) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $25.46, but hospitals typically charge $50.01 — a 2.0x 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 $25.46, your out-of-pocket cost would be approximately $5.09. 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 2.0x more than what Medicare allows for this procedure. Medicare actually pays $25.46 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $29 | $62 | 626 | 26,214 | +13.4% |
| District of Columbia | $28 | $46 | 5 | 74 | +10.2% |
| New Jersey | $28 | $56 | 198 | 14,151 | +9.2% |
| California | $27 | $57 | 663 | 44,263 | +7.2% |
| Alaska | $27 | $59 | 9 | 177 | +7.0% |
| Maryland | $27 | $49 | 107 | 6,256 | +6.5% |
| Connecticut | $27 | $47 | 33 | 1,599 | +6.2% |
| Illinois | $27 | $52 | 100 | 6,773 | +5.0% |
| New Hampshire | $26 | $35 | 4 | 81 | +1.8% |
| Florida | $26 | $45 | 685 | 47,341 | +1.3% |
| Rhode Island | $26 | $46 | 24 | 450 | +1.2% |
| Colorado | $26 | $45 | 77 | 4,420 | +0.2% |
| Nevada | $25 | $52 | 95 | 5,413 | -0.0% |
| Virginia | $25 | $44 | 128 | 7,369 | -0.1% |
| Michigan | $25 | $47 | 93 | 4,208 | -0.2% |
| Delaware | $25 | $41 | 9 | 852 | -0.2% |
| Vermont | $25 | $33 | 4 | 14 | -0.4% |
| Massachusetts | $25 | $55 | 144 | 5,671 | -0.4% |
| North Dakota | $25 | $42 | 1 | 119 | -1.2% |
| Pennsylvania | $25 | $42 | 132 | 6,911 | -1.3% |
| Oregon | $25 | $69 | 36 | 768 | -2.0% |
| Ohio | $25 | $54 | 150 | 4,485 | -2.9% |
| Utah | $25 | $37 | 22 | 654 | -2.9% |
| Hawaii | $25 | $29 | 8 | 80 | -3.5% |
| Texas | $25 | $46 | 473 | 22,927 | -3.6% |
| Missouri | $25 | $45 | 60 | 3,654 | -3.7% |
| Louisiana | $24 | $53 | 50 | 1,647 | -3.9% |
| Washington | $24 | $70 | 150 | 5,401 | -4.2% |
| Georgia | $24 | $49 | 280 | 15,597 | -4.6% |
| Wisconsin | $24 | $58 | 16 | 467 | -5.3% |
| Kansas | $24 | $51 | 18 | 1,123 | -5.4% |
| North Carolina | $24 | $46 | 385 | 14,063 | -5.5% |
| New Mexico | $24 | $42 | 13 | 270 | -5.7% |
| Idaho | $24 | $53 | 10 | 590 | -6.5% |
| Indiana | $24 | $58 | 50 | 1,258 | -6.5% |
| West Virginia | $24 | $47 | 22 | 853 | -7.2% |
| Kentucky | $23 | $40 | 40 | 1,814 | -7.7% |
| Oklahoma | $23 | $49 | 59 | 2,603 | -7.8% |
| Iowa | $23 | $62 | 22 | 771 | -7.9% |
| South Carolina | $23 | $49 | 277 | 23,370 | -8.1% |
| Arizona | $23 | $42 | 294 | 19,401 | -8.1% |
| Maine | $23 | $31 | 4 | 174 | -9.2% |
| Alabama | $23 | $38 | 192 | 7,599 | -9.2% |
| Tennessee | $23 | $47 | 176 | 7,813 | -9.4% |
| Mississippi | $23 | $46 | 81 | 4,731 | -10.9% |
| Arkansas | $23 | $36 | 24 | 1,515 | -11.0% |
| Montana | $22 | $28 | 15 | 465 | -11.7% |
| Minnesota | $22 | $42 | 5 | 136 | -14.0% |
| Nebraska | $22 | $40 | 20 | 639 | -14.4% |
| Wyoming | $22 | $36 | 2 | 11 | -15.1% |
⚠️ 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