Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)
Medicare pricing data for 180 providers across 25 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
Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.) (HCPCS code G3003) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.39, but hospitals typically charge $94.61 — a 3.3x 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 $28.39, your out-of-pocket cost would be approximately $5.68. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $22.57 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $33 | $206 | 8 | 1,319 | +17.8% |
| New Jersey | $33 | $75 | 1 | 59 | +14.5% |
| Pennsylvania | $31 | $82 | 6 | 159 | +8.1% |
| Colorado | $29 | $35 | 2 | 1,326 | +3.5% |
| Illinois | $29 | $50 | 1 | 47 | +3.0% |
| Mississippi | $29 | $45 | 1 | 18 | +2.0% |
| California | $29 | $191 | 17 | 311 | +1.2% |
| Maryland | $28 | $48 | 8 | 2,706 | +0.1% |
| North Carolina | $28 | $87 | 5 | 288 | -0.7% |
| Florida | $28 | $95 | 30 | 9,100 | -1.0% |
| Arizona | $28 | $57 | 11 | 285 | -1.1% |
| South Carolina | $28 | $40 | 1 | 18 | -1.4% |
| New Hampshire | $28 | $150 | 2 | 1,667 | -1.5% |
| Michigan | $28 | $71 | 3 | 136 | -2.3% |
| Ohio | $28 | $60 | 3 | 32 | -2.5% |
| Kentucky | $27 | $65 | 2 | 67 | -3.6% |
| Oregon | $27 | $228 | 7 | 171 | -4.4% |
| Georgia | $27 | $87 | 5 | 43 | -5.1% |
| Texas | $27 | $61 | 16 | 622 | -5.6% |
| Virginia | $27 | $42 | 3 | 151 | -6.1% |
| Tennessee | $26 | $57 | 7 | 472 | -7.6% |
| Nevada | $25 | $43 | 11 | 195 | -12.8% |
| New Mexico | $25 | $76 | 3 | 78 | -13.7% |
| Nebraska | $23 | $69 | 4 | 19 | -18.7% |
| Minnesota | $22 | $86 | 1 | 225 | -23.4% |
⚠️ 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