Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
Medicare pricing data for 1,008 providers across 49 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
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS code G2078) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.68, but hospitals typically charge $49.26 — 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 $37.68, your out-of-pocket cost would be approximately $7.54. 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 $37.19 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $39 | $55 | 3 | 943 | +2.3% |
| Montana | $39 | $75 | 4 | 1,251 | +2.2% |
| West Virginia | $39 | $39 | 10 | 2,645 | +2.2% |
| Idaho | $39 | $39 | 4 | 240 | +2.2% |
| Iowa | $39 | $40 | 4 | 834 | +2.2% |
| Kansas | $39 | $39 | 4 | 626 | +2.2% |
| Kentucky | $39 | $52 | 24 | 5,862 | +2.2% |
| Louisiana | $39 | $39 | 10 | 2,943 | +2.2% |
| Mississippi | $39 | $66 | 4 | 1,475 | +2.2% |
| Missouri | $39 | $55 | 11 | 1,588 | +2.2% |
| New Hampshire | $39 | $64 | 8 | 3,526 | +2.2% |
| Vermont | $39 | $65 | 7 | 3,852 | +2.2% |
| District of Columbia | $39 | $39 | 2 | 955 | +2.2% |
| Nebraska | $39 | $39 | 3 | 483 | +2.2% |
| Colorado | $38 | $43 | 16 | 2,513 | +2.1% |
| Wisconsin | $38 | $67 | 16 | 2,359 | +2.0% |
| Oklahoma | $38 | $39 | 5 | 4,432 | +2.0% |
| South Carolina | $38 | $72 | 24 | 5,762 | +2.0% |
| Tennessee | $38 | $39 | 22 | 8,043 | +2.0% |
| Virginia | $38 | $60 | 32 | 6,831 | +2.0% |
| Florida | $38 | $93 | 40 | 7,721 | +2.0% |
| North Dakota | $38 | $72 | 3 | 196 | +2.0% |
| Maine | $38 | $46 | 12 | 5,835 | +1.9% |
| Oregon | $38 | $46 | 15 | 7,887 | +1.8% |
| Nevada | $38 | $43 | 8 | 2,412 | +1.6% |
| Massachusetts | $38 | $40 | 12 | 33,274 | +1.5% |
| California | $38 | $47 | 110 | 37,158 | +1.4% |
| Utah | $38 | $48 | 10 | 1,783 | +1.3% |
| Indiana | $38 | $46 | 19 | 2,851 | +1.3% |
| Arizona | $38 | $69 | 35 | 2,960 | +1.3% |
| Ohio | $38 | $52 | 41 | 3,932 | +1.2% |
| New Jersey | $38 | $45 | 34 | 16,404 | +1.1% |
| Minnesota | $38 | $55 | 12 | 4,811 | +1.1% |
| Washington | $38 | $43 | 22 | 9,883 | +1.1% |
| Maryland | $38 | $47 | 63 | 34,667 | +1.0% |
| Pennsylvania | $38 | $43 | 44 | 8,958 | +1.0% |
| Alabama | $38 | $61 | 18 | 3,550 | +1.0% |
| Georgia | $38 | $60 | 41 | 8,606 | +0.8% |
| Connecticut | $38 | $76 | 13 | 9,508 | +0.7% |
| Michigan | $38 | $50 | 30 | 7,681 | +0.6% |
| Alaska | $38 | $41 | 4 | 1,133 | -0.1% |
| Rhode Island | $38 | $38 | 14 | 2,356 | -0.1% |
| Illinois | $38 | $44 | 31 | 4,706 | -0.5% |
| North Carolina | $37 | $55 | 48 | 8,451 | -0.6% |
| Arkansas | $37 | $38 | 3 | 536 | -0.7% |
| Delaware | $37 | $44 | 6 | 3,878 | -1.1% |
| New York | $37 | $43 | 45 | 19,740 | -2.0% |
| New Mexico | $36 | $41 | 12 | 5,263 | -4.1% |
| Texas | $25 | $37 | 49 | 9,075 | -34.6% |
⚠️ 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