Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm
Medicare pricing data for 1,153 providers across 49 states
Prices vary significantly by location — from $77 in Nevada to $293 in Alaska. 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
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS code G2067) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $218.08, but hospitals typically charge $256.17 — a 1.2x 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 $218.08, your out-of-pocket cost would be approximately $43.62. 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 1.2x more than what Medicare allows for this procedure. Medicare actually pays $213.86 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $293 | $323 | 7 | 3,098 | +34.1% |
| District of Columbia | $272 | $277 | 2 | 4,735 | +24.5% |
| Massachusetts | $251 | $274 | 13 | 104,258 | +15.3% |
| New Hampshire | $246 | $451 | 8 | 15,793 | +13.0% |
| Colorado | $246 | $270 | 17 | 7,130 | +12.7% |
| New Jersey | $245 | $264 | 38 | 32,575 | +12.2% |
| Montana | $244 | $308 | 4 | 1,913 | +11.7% |
| Connecticut | $244 | $257 | 16 | 20,690 | +11.7% |
| New York | $243 | $271 | 50 | 43,313 | +11.3% |
| Maryland | $241 | $258 | 73 | 75,324 | +10.5% |
| Oregon | $241 | $288 | 15 | 12,196 | +10.3% |
| Virginia | $241 | $341 | 36 | 13,244 | +10.3% |
| North Dakota | $239 | $302 | 3 | 1,436 | +9.8% |
| Florida | $237 | $429 | 48 | 21,337 | +8.4% |
| Hawaii | $236 | $277 | 3 | 1,508 | +8.2% |
| New Mexico | $235 | $312 | 13 | 7,372 | +7.9% |
| Louisiana | $235 | $240 | 10 | 5,098 | +7.8% |
| Pennsylvania | $234 | $265 | 60 | 31,198 | +7.1% |
| Minnesota | $233 | $293 | 12 | 13,059 | +7.1% |
| Georgia | $233 | $344 | 42 | 17,790 | +7.0% |
| Rhode Island | $233 | $238 | 16 | 6,389 | +7.0% |
| West Virginia | $233 | $238 | 10 | 7,324 | +6.8% |
| Ohio | $232 | $297 | 49 | 11,951 | +6.3% |
| Michigan | $232 | $258 | 36 | 27,460 | +6.2% |
| Kansas | $231 | $242 | 5 | 2,330 | +5.9% |
| Maine | $231 | $312 | 12 | 12,931 | +5.9% |
| Missouri | $231 | $423 | 12 | 3,599 | +5.8% |
| Wisconsin | $230 | $260 | 17 | 13,512 | +5.6% |
| Oklahoma | $230 | $235 | 6 | 5,495 | +5.4% |
| Kentucky | $230 | $300 | 25 | 16,472 | +5.4% |
| Nebraska | $230 | $234 | 3 | 798 | +5.2% |
| Idaho | $229 | $246 | 4 | 1,291 | +5.1% |
| Indiana | $229 | $269 | 20 | 15,146 | +5.0% |
| Illinois | $228 | $243 | 46 | 16,658 | +4.7% |
| Tennessee | $228 | $233 | 22 | 13,129 | +4.6% |
| Washington | $228 | $240 | 23 | 19,619 | +4.4% |
| Mississippi | $227 | $469 | 4 | 1,747 | +4.2% |
| Texas | $227 | $300 | 54 | 12,019 | +4.0% |
| South Carolina | $225 | $393 | 25 | 10,447 | +3.0% |
| Delaware | $222 | $229 | 6 | 5,425 | +2.0% |
| Arkansas | $220 | $225 | 2 | 742 | +0.8% |
| North Carolina | $219 | $315 | 61 | 21,166 | +0.6% |
| Vermont | $217 | $227 | 7 | 10,190 | -0.5% |
| Iowa | $201 | $218 | 7 | 2,553 | -7.9% |
| Utah | $200 | $231 | 12 | 3,591 | -8.3% |
| Alabama | $182 | $289 | 20 | 17,854 | -16.7% |
| California | $178 | $187 | 131 | 215,601 | -18.4% |
| Arizona | $170 | $216 | 37 | 14,779 | -21.8% |
| Nevada | $77 | $79 | 11 | 23,071 | -64.7% |
⚠️ 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