Annual alcohol misuse screening, 5 to 15 minutes
Medicare pricing data for 16,524 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
Annual alcohol misuse screening, 5 to 15 minutes (HCPCS code G0442) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.66, but hospitals typically charge $38.05 — a 2.2x 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 $17.66, your out-of-pocket cost would be approximately $3.53. 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 2.2x more than what Medicare allows for this procedure. Medicare actually pays $17.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $21 | $57 | 23 | 641 | +16.7% |
| Alaska | $20 | $64 | 12 | 192 | +15.7% |
| New Jersey | $20 | $41 | 493 | 34,106 | +13.8% |
| California | $20 | $40 | 1,299 | 78,148 | +13.0% |
| New York | $20 | $44 | 1,013 | 48,145 | +12.6% |
| Maryland | $20 | $39 | 393 | 34,967 | +10.4% |
| Massachusetts | $19 | $54 | 523 | 28,643 | +9.5% |
| Connecticut | $19 | $43 | 177 | 6,786 | +7.0% |
| Illinois | $19 | $40 | 331 | 17,601 | +6.9% |
| South Dakota | $18 | $58 | 2 | 26 | +4.0% |
| Virginia | $18 | $36 | 240 | 11,633 | +2.9% |
| Pennsylvania | $18 | $30 | 515 | 34,251 | +2.8% |
| Delaware | $18 | $34 | 46 | 4,339 | +2.3% |
| Maine | $18 | $32 | 8 | 204 | +1.8% |
| Colorado | $18 | $36 | 207 | 7,550 | +1.8% |
| New Hampshire | $18 | $43 | 50 | 1,207 | +1.7% |
| Rhode Island | $18 | $38 | 45 | 1,930 | +1.2% |
| Wyoming | $18 | $39 | 8 | 70 | +0.9% |
| Nevada | $18 | $40 | 224 | 12,561 | +0.8% |
| Montana | $18 | $24 | 20 | 741 | +0.2% |
| Florida | $18 | $36 | 2,535 | 167,370 | -0.2% |
| Michigan | $18 | $35 | 344 | 15,348 | -0.8% |
| Puerto Rico | $17 | $28 | 13 | 188 | -1.1% |
| North Dakota | $17 | $71 | 2 | 152 | -1.2% |
| Texas | $17 | $40 | 1,697 | 75,559 | -2.4% |
| Minnesota | $17 | $45 | 23 | 497 | -2.6% |
| Wisconsin | $17 | $45 | 61 | 2,043 | -2.7% |
| Arizona | $17 | $33 | 712 | 51,816 | -3.6% |
| Georgia | $17 | $43 | 574 | 29,692 | -3.8% |
| Vermont | $17 | $27 | 34 | 1,681 | -4.0% |
| Indiana | $17 | $39 | 150 | 7,362 | -4.4% |
| North Carolina | $17 | $37 | 728 | 32,489 | -4.5% |
| Utah | $17 | $30 | 44 | 1,682 | -4.7% |
| Kansas | $17 | $40 | 119 | 7,044 | -6.1% |
| Missouri | $17 | $29 | 102 | 3,303 | -6.1% |
| Idaho | $16 | $35 | 39 | 1,157 | -7.7% |
| West Virginia | $16 | $30 | 67 | 1,524 | -7.7% |
| Tennessee | $16 | $43 | 373 | 22,374 | -7.8% |
| Oklahoma | $16 | $32 | 207 | 12,035 | -7.9% |
| Louisiana | $16 | $40 | 149 | 5,916 | -8.4% |
| Iowa | $16 | $49 | 70 | 1,737 | -9.1% |
| Alabama | $16 | $32 | 539 | 23,081 | -9.1% |
| New Mexico | $16 | $47 | 116 | 5,176 | -9.2% |
| Ohio | $16 | $33 | 425 | 17,917 | -9.6% |
| Oregon | $16 | $39 | 361 | 8,873 | -9.8% |
| Nebraska | $16 | $26 | 69 | 3,132 | -10.4% |
| Arkansas | $16 | $32 | 253 | 15,226 | -10.5% |
| South Carolina | $15 | $39 | 257 | 16,732 | -14.2% |
| Kentucky | $15 | $27 | 142 | 5,603 | -15.5% |
| Washington | $14 | $40 | 282 | 7,947 | -20.1% |
| Mississippi | $13 | $29 | 365 | 28,004 | -24.9% |
| Hawaii | $12 | $21 | 14 | 798 | -32.8% |
⚠️ 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