Take-home supply of buprenorphine (oral); 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 274 providers across 15 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 buprenorphine (oral); 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 G2079) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $78.64, but hospitals typically charge $103.95 — 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 $78.64, your out-of-pocket cost would be approximately $15.73. 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 $77.85 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Virginia | $79 | $85 | 9 | 398 | +0.5% |
| South Carolina | $79 | $82 | 7 | 328 | +0.4% |
| Delaware | $79 | $96 | 4 | 219 | +0.4% |
| Texas | $79 | $161 | 15 | 320 | +0.4% |
| West Virginia | $79 | $81 | 5 | 303 | +0.4% |
| Illinois | $79 | $151 | 7 | 218 | +0.4% |
| Arizona | $79 | $210 | 9 | 177 | +0.4% |
| North Carolina | $79 | $115 | 25 | 1,176 | +0.3% |
| Washington | $79 | $124 | 9 | 358 | +0.3% |
| Ohio | $79 | $104 | 17 | 5,007 | +0.3% |
| Vermont | $79 | $145 | 6 | 195 | +0.3% |
| New Jersey | $79 | $118 | 11 | 455 | +0.2% |
| Tennessee | $79 | $81 | 6 | 225 | +0.2% |
| California | $78 | $82 | 40 | 949 | -0.3% |
| Maryland | $77 | $85 | 29 | 1,896 | -1.6% |
⚠️ 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