Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth
Medicare pricing data for 304 providers across 29 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth (HCPCS code G0509) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $188.40, but hospitals typically charge $609.02 — a 3.2x 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 $188.40, your out-of-pocket cost would be approximately $37.68. 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 3.2x more than what Medicare allows for this procedure. Medicare actually pays $149.24 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $202 | $685 | 7 | 198 | +7.0% |
| New York | $200 | $565 | 29 | 703 | +6.0% |
| Hawaii | $200 | $645 | 1 | 28 | +6.0% |
| Connecticut | $200 | $690 | 3 | 82 | +5.9% |
| Oregon | $198 | $629 | 4 | 33 | +5.0% |
| New Jersey | $197 | $654 | 4 | 325 | +4.6% |
| South Carolina | $194 | $662 | 4 | 66 | +3.2% |
| California | $194 | $535 | 34 | 542 | +3.2% |
| Florida | $194 | $722 | 35 | 335 | +3.1% |
| Massachusetts | $192 | $899 | 13 | 228 | +1.7% |
| Washington | $190 | $364 | 2 | 68 | +0.8% |
| Georgia | $189 | $967 | 8 | 212 | +0.1% |
| Nevada | $189 | $557 | 2 | 69 | +0.1% |
| Pennsylvania | $188 | $670 | 12 | 278 | -0.3% |
| Virginia | $187 | $1,013 | 11 | 184 | -0.5% |
| Illinois | $187 | $587 | 15 | 94 | -1.0% |
| Michigan | $186 | $653 | 5 | 33 | -1.1% |
| Arkansas | $185 | $585 | 1 | 194 | -1.6% |
| Louisiana | $185 | $485 | 6 | 37 | -1.7% |
| Oklahoma | $185 | $859 | 2 | 35 | -2.0% |
| Texas | $184 | $537 | 28 | 2,034 | -2.2% |
| North Carolina | $184 | $495 | 9 | 181 | -2.4% |
| Ohio | $184 | $498 | 6 | 18 | -2.5% |
| Arizona | $183 | $691 | 2 | 49 | -2.7% |
| Minnesota | $181 | $637 | 13 | 45 | -3.7% |
| Kansas | $179 | $688 | 2 | 242 | -5.0% |
| Nebraska | $175 | $420 | 13 | 60 | -7.1% |
| Colorado | $175 | $379 | 2 | 283 | -7.2% |
| Tennessee | $169 | $516 | 27 | 179 | -10.2% |
⚠️ 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