Other · 0448T

Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor

What Medicare pays for 0448T, what providers bill, and how the price varies across 0 states, drawn from CMS 2023 claims data.

0448T · the short answer

For removal of glucose sensor from skin pocket with creation of new skin pocket and insertion of new glucose sensor, Medicare pays about $2,233.18 while providers bill $4,829.06 on average, a 2.2× markup, one of the smaller markups in the catalog.

Medicare pays
$2,233.18
Providers bill
$4,829.06
Markup
2.2×
Markup percentile
9th

Medicare amounts are CMS-published; markup = average submitted charge ÷ average Medicare payment.

Medicare Payment (avg)
$2,233.18
What Medicare actually pays
Billed Charge (avg)
$4,829.06
What providers submit
Markup
2.2x
116% above Medicare rate
110
Total Services
80
Beneficiaries
50
Providers
0
States with Data

What You Might Pay

Est. Commercial Insurance
$6,295.22
Range: $4,406.65 – $8,813.30
Est. Cash / Self-Pay
$3,435.77
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

How we estimate these prices

These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024), which found that commercial insurance prices average 224% of Medicare rates nationally. We apply category-specific ratios: Other procedures average 2.24x Medicare rates. Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.

Where this markup sits nationally

Markup (billed ÷ Medicare) across 8,901 procedures with a meaningful Medicare rate

2 more affordable than 9% of 8,901 procedures

1–2: 466 procedures (5%). Below this entry. 2–3: 681 procedures (8%). This entry sits in this band. 3–4: 845 procedures (9%). Above this entry. 4–5: 1,308 procedures (15%). Above this entry. 5–6: 1,725 procedures (19%). Above this entry. 6–7: 1,217 procedures (14%). Above this entry. 7–8: 801 procedures (9%). Above this entry. 8–9: 541 procedures (6%). Above this entry. 9–10: 351 procedures (4%). Above this entry. 10–11: 246 procedures (3%). Above this entry. 11–12: 151 procedures (2%). Above this entry. 12–13: 175 procedures (2%). Above this entry. 13–14: 140 procedures (2%). Above this entry. 14–15: 40 procedures (0%). Above this entry. 15–16: 39 procedures (0%). Above this entry. 16–17: 26 procedures (0%). Above this entry. 17–18: 25 procedures (0%). Above this entry. 18–19: 21 procedures (0%). Above this entry. 19–20: 12 procedures (0%). Above this entry. 20–21: 16 procedures (0%). Above this entry. 21–22: 13 procedures (0%). Above this entry. 22–23: 8 procedures (0%). Above this entry. 23–24: 9 procedures (0%). Above this entry. 24–25: 4 procedures (0%). Above this entry. 25–26: 3 procedures (0%). Above this entry. 26–27: 3 procedures (0%). Above this entry. 27–28: 4 procedures (0%). Above this entry. 28–29: 3 procedures (0%). Above this entry. 29–30: 2 procedures (0%). Above this entry. 30–31: 26 procedures (0%). Above this entry. this procedure 1 31 × markup, bucketed by value

Each bar is a band; taller bars hold more procedures. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners · 2023

What the Data Says About Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor

Across 0 states with reporting providers, CPT code 0448T (Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor) shows a national average Medicare payment of $2,233.18 against an average billed charge of $4,829.06. That gap, a 2.2x markup, or 116% above the Medicare allowed amount, is among the tightest billed-to-paid spreads we track, this code's chargemaster rate tracks unusually close to the Medicare benchmark.

Other procedures like this one saw 110 services billed to Medicare in 2023 by 50 distinct providers, serving 80 unique beneficiaries. Regional variation is limited in the underlying CMS file. Where state-level figures exist for removal of glucose sensor from skin pocket with creation of new skin pocket and insertion of new glucose sensor, Geographic Practice Cost Indices (GPCIs), local malpractice premiums, and practice-expense adjustments are the usual drivers of any difference.

Applying RAND 2024 commercial-to-Medicare ratios specific to the Other category (2.24x), the estimated commercial insurance price lands near $6,295.22, with self-pay cash discounts commonly bringing the figure closer to $3,435.77. Within Other, Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor ranks #11 of 151 tracked procedures by national average Medicare payment.

What to do with this

If you may have removal of glucose sensor from skin pocket with creation of new skin pocket and insertion of new glucose sensor done, these steps turn the numbers above into a real-world cost estimate.

  • Request a Good Faith Estimate from your provider at least 3 business days before a scheduled procedure, under the No Surprises Act it is an enforceable written price.
  • Compare removal of glucose sensor from skin pocket with creation of new skin pocket and insertion of new glucose sensor costs in your state, Medicare rates vary by locality. Browse states
  • Check a hospital’s published cash price, which is often far below the billed charge. Price transparency
  • Understand why billed charges run several times the Medicare rate before you negotiate. Read the guide

Figures here are averages and estimates, not a quote. Confirm coverage and out-of-pocket costs with your insurer and provider.

Frequently Asked Questions

How much does Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor cost?

The national average Medicare payment for Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor (CPT 0448T) is $2,233.18, while providers typically bill $4,829.06.

Why do providers charge more than Medicare pays?

Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.

How much does Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor cost with insurance?

With commercial insurance, removal of glucose sensor from skin pocket with creation of new skin pocket and insertion of new glucose sensor costs an estimated $6,295.22 on average (range: $4,406.65-$8,813.30), a moderate premium over Medicare's $2,233.18. Without insurance, the estimated cash price is $3,435.77.

How many providers perform Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor?

Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor is comparatively uncommon: only 50 providers nationally billed Medicare for it in 2023, serving 80 beneficiaries via 110 total services.

What is the billed-to-Medicare markup for Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor?

Providers bill 2.2x what Medicare pays for Removal Of Glucose Sensor From Skin Pocket With Creation Of New Skin Pocket And Insertion Of New Glucose Sensor - one of the smaller markups in the catalog at 116% above the Medicare rate.

Related Guides

Negotiating Your Medical Bill

Tips to reduce out-of-pocket costs
Hospital Price Transparency

Your right to upfront pricing
Understanding Medicare Costs

How Medicare payments work
How to Read a Medical Bill

Decode charges and codes
Hospital Markup Explained

Why bills exceed actual costs
Why Costs Vary by State

Geographic pricing factors

Data from CMS Medicare Physician & Other Practitioners (2023).

Read our methodology - how this data is sourced, computed, and verified.

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Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.