Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for
Medicare pricing data for 634 providers across 45 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
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for (HCPCS code G2077) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $115.56, but hospitals typically charge $166.44 — a 1.4x 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 $115.56, your out-of-pocket cost would be approximately $23.11. 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 1.4x more than what Medicare allows for this procedure. Medicare actually pays $114.16 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $148 | $204 | 3 | 238 | +28.1% |
| District of Columbia | $132 | $135 | 2 | 104 | +14.1% |
| New York | $128 | $138 | 29 | 1,537 | +10.7% |
| California | $124 | $127 | 56 | 740 | +7.4% |
| New Jersey | $121 | $137 | 14 | 536 | +5.1% |
| Illinois | $121 | $132 | 7 | 228 | +4.6% |
| Massachusetts | $121 | $142 | 5 | 937 | +4.5% |
| Rhode Island | $119 | $122 | 7 | 136 | +3.3% |
| Maryland | $119 | $137 | 49 | 7,711 | +3.3% |
| Colorado | $118 | $149 | 10 | 576 | +2.2% |
| New Hampshire | $118 | $333 | 7 | 588 | +1.8% |
| Washington | $117 | $122 | 6 | 62 | +0.9% |
| Michigan | $116 | $153 | 27 | 2,046 | +0.5% |
| Montana | $116 | $211 | 4 | 680 | +0.4% |
| Oregon | $115 | $162 | 12 | 747 | -0.5% |
| Nevada | $115 | $117 | 7 | 96 | -0.6% |
| Virginia | $115 | $220 | 21 | 793 | -0.7% |
| Texas | $114 | $209 | 20 | 314 | -0.9% |
| Vermont | $114 | $117 | 6 | 86 | -1.5% |
| Minnesota | $114 | $277 | 9 | 705 | -1.5% |
| Pennsylvania | $113 | $140 | 21 | 269 | -1.9% |
| Arizona | $113 | $202 | 31 | 1,295 | -1.9% |
| North Dakota | $113 | $200 | 3 | 220 | -2.0% |
| Florida | $113 | $329 | 33 | 1,114 | -2.3% |
| Georgia | $113 | $239 | 22 | 440 | -2.3% |
| New Mexico | $112 | $287 | 4 | 122 | -3.3% |
| Utah | $111 | $247 | 5 | 45 | -3.8% |
| North Carolina | $111 | $198 | 36 | 812 | -3.9% |
| Louisiana | $111 | $113 | 8 | 159 | -4.1% |
| Delaware | $111 | $126 | 4 | 169 | -4.1% |
| Maine | $110 | $244 | 8 | 326 | -4.6% |
| West Virginia | $110 | $112 | 8 | 586 | -4.7% |
| Wisconsin | $110 | $131 | 15 | 570 | -4.7% |
| South Carolina | $110 | $205 | 22 | 991 | -4.8% |
| Missouri | $109 | $213 | 11 | 214 | -5.5% |
| Indiana | $109 | $180 | 10 | 477 | -5.7% |
| Kentucky | $109 | $196 | 17 | 331 | -5.8% |
| Kansas | $109 | $112 | 4 | 40 | -5.8% |
| Iowa | $109 | $114 | 4 | 163 | -5.9% |
| Alabama | $109 | $156 | 14 | 549 | -6.1% |
| Oklahoma | $108 | $110 | 4 | 57 | -6.6% |
| Ohio | $108 | $125 | 21 | 3,855 | -6.6% |
| Tennessee | $108 | $111 | 20 | 559 | -6.8% |
| Mississippi | $107 | $331 | 3 | 125 | -7.6% |
| Arkansas | $106 | $108 | 1 | 13 | -8.3% |
⚠️ 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