Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a
Medicare pricing data for 694 providers across 42 states
Prices vary significantly by location — from $103 in Nevada to $242 in Alaska. Where you get this procedure matters more than almost any other factor. 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
Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a (HCPCS code G2076) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $185.20, but hospitals typically charge $235.58 — a 1.3x 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 $185.20, your out-of-pocket cost would be approximately $37.04. 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 1.3x more than what Medicare allows for this procedure. Medicare actually pays $174.62 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $242 | $285 | 5 | 19 | +30.6% |
| California | $202 | $225 | 65 | 510 | +9.2% |
| New Jersey | $200 | $288 | 32 | 174 | +7.8% |
| Massachusetts | $196 | $205 | 9 | 483 | +6.1% |
| Connecticut | $196 | $217 | 7 | 54 | +5.9% |
| Illinois | $196 | $239 | 18 | 75 | +5.7% |
| Maryland | $194 | $220 | 47 | 427 | +4.9% |
| Colorado | $192 | $270 | 7 | 17 | +3.9% |
| Michigan | $192 | $260 | 26 | 558 | +3.7% |
| New Hampshire | $192 | $394 | 7 | 85 | +3.6% |
| Rhode Island | $191 | $194 | 11 | 29 | +3.1% |
| Montana | $189 | $280 | 4 | 15 | +2.2% |
| Delaware | $189 | $379 | 5 | 16 | +2.0% |
| Oregon | $189 | $262 | 11 | 119 | +1.8% |
| Washington | $188 | $198 | 16 | 122 | +1.6% |
| Pennsylvania | $187 | $268 | 29 | 74 | +1.1% |
| Virginia | $187 | $340 | 26 | 109 | +0.9% |
| Texas | $186 | $333 | 22 | 38 | +0.5% |
| Vermont | $185 | $190 | 6 | 39 | +0.1% |
| Arizona | $185 | $268 | 19 | 90 | -0.3% |
| Minnesota | $184 | $249 | 10 | 51 | -0.6% |
| New York | $184 | $194 | 28 | 236 | -0.8% |
| Georgia | $182 | $336 | 24 | 76 | -1.5% |
| Maine | $182 | $242 | 8 | 93 | -1.6% |
| New Mexico | $182 | $343 | 7 | 35 | -1.7% |
| North Carolina | $181 | $220 | 36 | 2,809 | -2.4% |
| Louisiana | $181 | $184 | 5 | 33 | -2.5% |
| Ohio | $180 | $260 | 29 | 113 | -3.0% |
| Wisconsin | $179 | $229 | 14 | 83 | -3.3% |
| Missouri | $179 | $394 | 8 | 21 | -3.3% |
| South Carolina | $179 | $322 | 20 | 65 | -3.6% |
| West Virginia | $178 | $181 | 7 | 52 | -3.6% |
| Indiana | $178 | $224 | 11 | 71 | -4.0% |
| Kentucky | $178 | $318 | 16 | 63 | -4.1% |
| Kansas | $177 | $189 | 3 | 14 | -4.4% |
| Alabama | $177 | $429 | 12 | 27 | -4.5% |
| Florida | $176 | $340 | 32 | 180 | -5.1% |
| Idaho | $175 | $190 | 3 | 12 | -5.7% |
| Mississippi | $174 | $258 | 3 | 12 | -6.0% |
| Tennessee | $174 | $179 | 17 | 61 | -6.0% |
| Utah | $173 | $205 | 7 | 35 | -6.6% |
| Nevada | $103 | $105 | 10 | 105 | -44.2% |
⚠️ 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