G2012

Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic

Medicare pricing data for 6,225 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $11 in Idaho to $22 in Maryland. Where you get this procedure matters more than almost any other factor. 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

Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic (HCPCS code G2012) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $13.95, but hospitals typically charge $43.40 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.79

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $13.95, your out-of-pocket cost would be approximately $2.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$13.95
Average Hospital Charge
$43.40
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$43.40
Medicare Allowed$13.95
Medicare Payment$9.99

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $9.99 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$22$541071,013+55.5%
Alaska$18$551753+29.2%
District of Columbia$16$87414+12.8%
New York$15$703496,315+9.6%
New Jersey$15$651861,792+7.0%
Connecticut$14$9562328+3.3%
California$14$401,31332,112+2.6%
Massachusetts$14$9364908+2.4%
Delaware$14$37101,262+0.4%
Hawaii$14$3680615-0.4%
Washington$14$384532,350-1.1%
Illinois$14$431881,165-1.4%
Florida$14$282493,562-2.2%
Wyoming$14$4719105-2.3%
Michigan$14$46105894-2.9%
Rhode Island$13$2719377-4.5%
Texas$13$353124,493-4.7%
Nevada$13$27341,168-5.4%
Puerto Rico$13$231381,001-5.4%
Nebraska$13$1716106-5.7%
New Mexico$13$501585-6.2%
Georgia$13$481691,634-6.2%
New Hampshire$13$391438-6.9%
Oklahoma$13$6036249-7.0%
Arizona$13$331632,235-7.5%
Colorado$13$3592260-7.5%
Pennsylvania$13$423832,141-7.5%
Virginia$13$36114981-7.7%
Missouri$13$4875345-7.9%
North Carolina$13$4083522-8.0%
Kansas$13$5684280-8.2%
South Carolina$13$491581,153-8.5%
Vermont$13$27454-9.0%
Iowa$13$451456-9.1%
Montana$13$3913130-9.6%
Minnesota$13$73109422-9.7%
Louisiana$12$4241231-10.8%
Ohio$12$42131363-10.9%
West Virginia$12$78107557-11.3%
Oregon$12$4187320-11.4%
Tennessee$12$46128781-11.7%
Alabama$12$4550644-13.9%
Kentucky$12$3754770-14.6%
Utah$12$52837-14.8%
Maine$12$5510121-14.9%
Wisconsin$12$6375543-15.0%
North Dakota$12$22568-16.4%
Indiana$12$37153766-17.3%
Mississippi$11$2937454-18.7%
Arkansas$11$2936220-19.4%
Idaho$11$31831-23.2%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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