Continuous monitoring of blood sugar level in tissue fluid using sensor under skin
Medicare pricing data for 4,100 providers across 52 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
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin (HCPCS code 95249) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $61.35, but hospitals typically charge $147.10 — a 2.4x 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 $61.35, your out-of-pocket cost would be approximately $12.27. 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 2.4x more than what Medicare allows for this procedure. Medicare actually pays $47.02 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $72 | $217 | 303 | 1,551 | +17.1% |
| District of Columbia | $72 | $184 | 9 | 40 | +17.1% |
| California | $71 | $141 | 242 | 2,198 | +15.0% |
| New Jersey | $69 | $132 | 134 | 795 | +12.1% |
| Hawaii | $67 | $129 | 7 | 44 | +9.5% |
| Connecticut | $66 | $153 | 43 | 214 | +8.0% |
| Massachusetts | $66 | $197 | 74 | 343 | +7.3% |
| Puerto Rico | $66 | $205 | 9 | 19 | +7.2% |
| Maryland | $65 | $115 | 97 | 563 | +6.3% |
| Virginia | $64 | $132 | 54 | 250 | +4.3% |
| Rhode Island | $64 | $135 | 16 | 36 | +3.8% |
| New Hampshire | $63 | $285 | 29 | 93 | +2.5% |
| Washington | $63 | $162 | 119 | 321 | +2.0% |
| Illinois | $62 | $184 | 171 | 1,336 | +1.8% |
| Delaware | $62 | $120 | 13 | 137 | +0.4% |
| Montana | $61 | $137 | 12 | 89 | -0.5% |
| Alaska | $61 | $168 | 6 | 11 | -0.7% |
| Minnesota | $61 | $229 | 165 | 379 | -0.8% |
| North Dakota | $61 | $154 | 17 | 73 | -0.9% |
| Nevada | $61 | $133 | 31 | 122 | -1.0% |
| Oregon | $61 | $143 | 52 | 123 | -1.3% |
| Vermont | $60 | $170 | 4 | 14 | -2.4% |
| Pennsylvania | $60 | $145 | 200 | 813 | -2.6% |
| Wyoming | $59 | $147 | 11 | 27 | -3.5% |
| Florida | $59 | $125 | 258 | 1,523 | -3.7% |
| Michigan | $59 | $95 | 162 | 433 | -4.4% |
| Texas | $58 | $141 | 307 | 1,275 | -6.3% |
| Wisconsin | $57 | $295 | 143 | 344 | -6.5% |
| Colorado | $57 | $138 | 31 | 85 | -7.5% |
| Maine | $57 | $146 | 7 | 12 | -7.5% |
| Utah | $56 | $128 | 22 | 104 | -8.0% |
| Arizona | $56 | $121 | 81 | 289 | -8.4% |
| South Dakota | $56 | $122 | 12 | 43 | -8.9% |
| North Carolina | $56 | $129 | 162 | 511 | -9.2% |
| Missouri | $56 | $131 | 54 | 221 | -9.5% |
| Georgia | $55 | $129 | 141 | 461 | -9.6% |
| Ohio | $55 | $124 | 110 | 340 | -10.0% |
| Oklahoma | $55 | $106 | 69 | 249 | -10.3% |
| Indiana | $55 | $124 | 129 | 605 | -10.6% |
| Nebraska | $55 | $122 | 68 | 155 | -10.8% |
| South Carolina | $55 | $118 | 94 | 398 | -10.8% |
| Idaho | $55 | $110 | 11 | 18 | -11.0% |
| Iowa | $54 | $173 | 40 | 105 | -11.7% |
| Kansas | $54 | $122 | 49 | 208 | -12.0% |
| Alabama | $53 | $97 | 72 | 329 | -12.9% |
| Kentucky | $53 | $115 | 34 | 140 | -13.2% |
| Louisiana | $53 | $104 | 45 | 270 | -13.2% |
| West Virginia | $53 | $133 | 12 | 50 | -13.6% |
| New Mexico | $53 | $148 | 14 | 48 | -13.7% |
| Tennessee | $52 | $119 | 81 | 293 | -15.2% |
| Arkansas | $52 | $96 | 36 | 326 | -15.9% |
| Mississippi | $50 | $71 | 32 | 200 | -18.0% |
⚠️ 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