Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care
Medicare pricing data for 1,781 providers across 30 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
Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care (HCPCS code G2214) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $52.64, but hospitals typically charge $117.89 — 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 $52.64, your out-of-pocket cost would be approximately $10.53. 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 $40.99 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $62 | $136 | 49 | 255 | +17.7% |
| California | $62 | $176 | 91 | 735 | +17.5% |
| Massachusetts | $62 | $159 | 117 | 231 | +17.1% |
| District of Columbia | $61 | $149 | 16 | 71 | +16.1% |
| Connecticut | $61 | $174 | 22 | 29 | +15.0% |
| Washington | $58 | $174 | 74 | 116 | +10.4% |
| Montana | $56 | $298 | 21 | 51 | +6.5% |
| Louisiana | $55 | $192 | 1 | 93 | +4.0% |
| New Jersey | $54 | $122 | 14 | 49 | +2.9% |
| South Carolina | $54 | $149 | 19 | 37 | +2.6% |
| Arizona | $54 | $129 | 62 | 117 | +2.0% |
| Minnesota | $53 | $77 | 69 | 3,613 | +1.6% |
| Idaho | $53 | $80 | 5 | 121 | +1.5% |
| Illinois | $53 | $97 | 17 | 64 | +1.5% |
| Georgia | $53 | $185 | 27 | 88 | +1.4% |
| Oklahoma | $53 | $118 | 28 | 44 | +0.9% |
| Virginia | $53 | $167 | 17 | 37 | +0.8% |
| Florida | $53 | $87 | 221 | 2,387 | +0.3% |
| Missouri | $53 | $138 | 81 | 132 | +0.0% |
| West Virginia | $52 | $146 | 9 | 24 | -2.1% |
| North Carolina | $51 | $159 | 49 | 111 | -3.6% |
| New York | $51 | $168 | 74 | 875 | -4.0% |
| Arkansas | $51 | $126 | 21 | 24 | -4.0% |
| Texas | $50 | $156 | 75 | 223 | -4.7% |
| Pennsylvania | $50 | $157 | 239 | 579 | -5.4% |
| Wisconsin | $49 | $150 | 143 | 1,289 | -7.0% |
| Michigan | $47 | $127 | 172 | 1,199 | -10.8% |
| Ohio | $47 | $81 | 10 | 119 | -11.5% |
| Oregon | $45 | $172 | 11 | 21 | -13.6% |
| New Hampshire | $43 | $178 | 12 | 28 | -17.9% |
⚠️ 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