Face-to-face behavioral counseling for obesity, 15 minutes
Medicare pricing data for 9,195 providers across 49 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
Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS code G0447) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $25.53, but hospitals typically charge $58.10 — 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 $25.53, your out-of-pocket cost would be approximately $5.11. 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 $25.53 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $29 | $67 | 1,157 | 46,314 | +14.0% |
| Alaska | $27 | $79 | 9 | 75 | +6.0% |
| New Jersey | $27 | $55 | 385 | 15,613 | +5.6% |
| District of Columbia | $26 | $50 | 11 | 314 | +3.8% |
| California | $26 | $62 | 834 | 35,054 | +3.8% |
| Illinois | $26 | $60 | 297 | 11,601 | +2.0% |
| Connecticut | $26 | $58 | 77 | 1,084 | +1.9% |
| Massachusetts | $26 | $71 | 349 | 6,371 | +0.9% |
| Florida | $26 | $50 | 817 | 26,069 | +0.1% |
| Michigan | $26 | $47 | 260 | 6,401 | +0.0% |
| Rhode Island | $25 | $55 | 25 | 454 | -0.2% |
| Washington | $25 | $69 | 186 | 4,069 | -1.1% |
| Hawaii | $25 | $37 | 10 | 75 | -1.1% |
| Pennsylvania | $25 | $47 | 218 | 6,979 | -1.4% |
| Virginia | $25 | $56 | 140 | 4,676 | -2.2% |
| Maryland | $25 | $57 | 162 | 8,130 | -2.3% |
| Colorado | $25 | $49 | 81 | 729 | -2.9% |
| Nevada | $25 | $56 | 115 | 2,647 | -3.7% |
| Oregon | $24 | $72 | 65 | 1,290 | -4.6% |
| Texas | $24 | $56 | 690 | 16,107 | -5.2% |
| Puerto Rico | $24 | $150 | 4 | 36 | -5.2% |
| Montana | $24 | $36 | 13 | 209 | -5.4% |
| Georgia | $24 | $54 | 301 | 8,867 | -5.8% |
| North Carolina | $24 | $60 | 565 | 17,386 | -6.7% |
| Missouri | $24 | $46 | 85 | 1,921 | -7.5% |
| Ohio | $24 | $56 | 287 | 4,221 | -7.8% |
| Louisiana | $23 | $63 | 66 | 2,415 | -8.1% |
| New Hampshire | $23 | $170 | 14 | 327 | -8.1% |
| Idaho | $23 | $38 | 16 | 172 | -8.6% |
| Kansas | $23 | $96 | 71 | 1,146 | -8.7% |
| South Carolina | $23 | $57 | 150 | 5,159 | -8.8% |
| Utah | $23 | $40 | 18 | 174 | -8.9% |
| Arizona | $23 | $51 | 365 | 12,821 | -8.9% |
| Nebraska | $23 | $50 | 30 | 559 | -9.3% |
| North Dakota | $23 | $50 | 9 | 317 | -10.0% |
| Wisconsin | $23 | $100 | 182 | 1,919 | -10.0% |
| Minnesota | $23 | $89 | 137 | 1,351 | -10.2% |
| Delaware | $23 | $44 | 23 | 2,163 | -10.3% |
| Kentucky | $23 | $48 | 75 | 1,302 | -11.0% |
| Alabama | $23 | $39 | 236 | 7,058 | -11.5% |
| Indiana | $22 | $52 | 98 | 1,816 | -12.1% |
| Oklahoma | $22 | $45 | 72 | 1,052 | -12.2% |
| Maine | $22 | $45 | 10 | 468 | -12.3% |
| Arkansas | $22 | $55 | 65 | 1,659 | -12.9% |
| West Virginia | $22 | $49 | 34 | 1,248 | -13.0% |
| Mississippi | $22 | $38 | 72 | 1,661 | -13.9% |
| Tennessee | $22 | $50 | 208 | 4,769 | -14.4% |
| New Mexico | $22 | $48 | 24 | 110 | -14.9% |
| Iowa | $21 | $58 | 37 | 603 | -17.4% |
⚠️ 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