Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha
Medicare pricing data for 663 providers across 39 states
Prices vary significantly by location — from $34 in Kentucky to $91 in New York. 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
Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha (HCPCS code G3002) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.85, but hospitals typically charge $223.06 — a 2.9x 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 $76.85, your out-of-pocket cost would be approximately $15.37. 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 2.9x more than what Medicare allows for this procedure. Medicare actually pays $60.39 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $91 | $373 | 26 | 3,235 | +18.7% |
| District of Columbia | $89 | $115 | 1 | 154 | +16.0% |
| California | $84 | $326 | 59 | 9,256 | +8.8% |
| Connecticut | $84 | $95 | 2 | 38 | +8.8% |
| Mississippi | $80 | $162 | 1 | 481 | +3.5% |
| Colorado | $79 | $115 | 9 | 828 | +3.4% |
| Illinois | $79 | $164 | 9 | 679 | +3.2% |
| Florida | $79 | $224 | 74 | 13,146 | +2.5% |
| New Hampshire | $79 | $400 | 2 | 2,021 | +2.5% |
| Massachusetts | $78 | $101 | 8 | 596 | +2.0% |
| North Carolina | $78 | $231 | 8 | 1,083 | +1.7% |
| Michigan | $78 | $157 | 9 | 220 | +1.6% |
| South Carolina | $77 | $90 | 4 | 1,281 | +0.4% |
| Maryland | $77 | $100 | 18 | 5,053 | +0.3% |
| Pennsylvania | $76 | $159 | 46 | 3,088 | -0.8% |
| Louisiana | $76 | $132 | 2 | 276 | -0.9% |
| New Mexico | $75 | $227 | 14 | 1,359 | -2.1% |
| West Virginia | $75 | $92 | 3 | 101 | -2.5% |
| Arizona | $75 | $261 | 33 | 2,452 | -2.7% |
| Texas | $74 | $237 | 68 | 10,236 | -3.1% |
| Delaware | $74 | $187 | 7 | 240 | -4.1% |
| Georgia | $73 | $182 | 15 | 413 | -4.5% |
| Missouri | $73 | $166 | 6 | 170 | -4.7% |
| Virginia | $72 | $144 | 5 | 283 | -5.8% |
| Ohio | $72 | $298 | 19 | 493 | -6.0% |
| Nevada | $72 | $165 | 25 | 2,029 | -6.9% |
| New Jersey | $70 | $192 | 8 | 78 | -8.4% |
| Oregon | $70 | $210 | 7 | 958 | -9.0% |
| Idaho | $69 | $225 | 1 | 32 | -9.8% |
| Washington | $69 | $146 | 41 | 446 | -10.7% |
| Indiana | $68 | $154 | 15 | 46 | -11.4% |
| North Dakota | $66 | $160 | 1 | 53 | -13.7% |
| Tennessee | $66 | $142 | 33 | 4,772 | -13.8% |
| Kansas | $66 | $150 | 5 | 16 | -14.6% |
| Minnesota | $65 | $302 | 5 | 145 | -15.2% |
| Utah | $64 | $168 | 26 | 632 | -16.4% |
| Oklahoma | $64 | $85 | 9 | 693 | -16.9% |
| Nebraska | $64 | $190 | 15 | 475 | -17.1% |
| Kentucky | $34 | $55 | 5 | 240 | -55.7% |
⚠️ 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