G0283

Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care

Medicare pricing data for 42,232 providers across 52 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 5.7 million services annually. Even small pricing inefficiencies here affect millions of patients. 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

Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS code G0283) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.12, but hospitals typically charge $38.50 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $9.12, your out-of-pocket cost would be approximately $1.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$9.12
Average Hospital Charge
$38.50
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$38.50
Medicare Allowed$9.12
Medicare Payment$7.08

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $7.08 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$12$54901,499+30.8%
District of Columbia$10$37646,201+11.3%
New York$10$472,931620,228+11.3%
New Jersey$10$622,524458,891+8.1%
California$10$324,014827,677+5.3%
Connecticut$9$3745538,927+3.7%
Massachusetts$9$3747842,413+3.6%
Maryland$9$371,483238,770+3.4%
Rhode Island$9$531509,317+1.1%
Illinois$9$441,933125,719+0.3%
Washington$9$321,16881,885-0.4%
New Hampshire$9$4217410,465-0.5%
Vermont$9$31461,895-0.5%
Colorado$9$3574144,742-0.7%
Nevada$9$3441649,524-0.9%
Delaware$9$4138764,315-1.4%
Montana$9$3117310,923-1.4%
Florida$9$361,859307,258-1.5%
Michigan$9$481,55597,564-1.5%
North Dakota$9$361217,175-1.5%
Oregon$9$3339224,460-1.8%
Pennsylvania$9$342,164296,804-2.1%
Virginia$9$391,218131,354-2.1%
Hawaii$9$28882,722-2.6%
Maine$9$371808,440-3.3%
Wyoming$9$2719717,763-3.4%
Arizona$9$351,167170,806-3.5%
Minnesota$9$373058,087-3.7%
Wisconsin$9$5247810,166-4.8%
Louisiana$9$34750158,029-4.9%
Utah$9$2844893,433-4.9%
Texas$9$371,731222,554-5.2%
Georgia$9$391,13197,258-5.3%
New Mexico$9$3218528,768-5.3%
Missouri$9$4361291,479-5.6%
South Carolina$9$29706109,935-5.7%
South Dakota$9$3619623,962-5.7%
North Carolina$9$351,08269,881-5.8%
Ohio$9$3381858,823-6.4%
West Virginia$9$3729442,249-6.8%
Indiana$8$4483455,138-7.1%
Idaho$8$3042865,979-7.3%
Tennessee$8$321,310129,875-7.6%
Iowa$8$4351325,366-7.8%
Kentucky$8$3363961,132-8.0%
Nebraska$8$31518104,718-8.0%
Kansas$8$2942059,600-8.1%
Oklahoma$8$3545761,892-8.1%
Mississippi$8$3256791,304-8.6%
Arkansas$8$36462104,835-8.6%
Alabama$8$341,128244,633-8.9%
Puerto Rico$8$136992-10.2%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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