Medicine · 98977

Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days

Medicare Payment (avg)
$41.01
What Medicare actually pays
Billed Charge (avg)
$102.14
What providers submit
Markup
2.5x
149% above Medicare rate
92.4K
Total Services
26.6K
Beneficiaries
2.3K
Providers
44
States with Data

Price Range Across States

Lowest State Avg
$29.50
Arkansas
Highest State Avg
$45.16
California

What You Might Pay

Est. Commercial Insurance
$114.18
Range: $79.93 – $159.85
Est. Cash / Self-Pay
$67.92
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: Medicine procedures average 2.15x 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.

Prices by State

State Medicare Payment Billed Charge
California $45.16 $134.41
Hawaii $44.60 $143.97
Michigan $43.05 $82.02
Alaska $42.91 $239.54
Connecticut $42.74 $61.30
New York $42.58 $102.60
Massachusetts $42.31 $102.07
New Jersey $42.20 $212.71
Rhode Island $40.55 $57.31
Virginia $40.44 $116.22
New Hampshire $40.33 $77.99
Illinois $39.82 $99.22
Maryland $39.78 $189.16
Pennsylvania $39.06 $146.31
Florida $38.81 $95.89
Colorado $38.79 $75.29
Washington $38.77 $112.33
Delaware $38.50 $148.37
Minnesota $38.37 $111.82
Wyoming $38.21 $89.20
Utah $38.05 $65.05
Arizona $37.48 $113.93
Nevada $37.44 $155.15
Wisconsin $37.07 $130.31
Idaho $36.75 $118.66
Oregon $36.59 $112.60
Texas $36.47 $148.81
Missouri $36.32 $75.63
North Carolina $36.05 $87.27
South Carolina $35.83 $117.22
Louisiana $35.69 $115.77
Iowa $35.65 $81.36
Indiana $35.28 $70.22
Nebraska $34.87 $56.62
Georgia $34.61 $97.99
Tennessee $34.50 $76.44
Kansas $34.34 $89.52
Ohio $33.61 $105.76
New Mexico $33.47 $80.00
Alabama $33.40 $117.70
Oklahoma $31.57 $111.67
Kentucky $31.23 $106.44
West Virginia $30.95 $108.91
Arkansas $29.50 $123.71

What the Data Says About Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days

Across 44 states with reporting providers, CPT code 98977 (Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days) shows a national average Medicare payment of $41.01 against an average billed charge of $102.14. That gap — a 2.5x markup, or 149% above the Medicare allowed amount — reflects chargemaster pricing, not what most insured patients actually pay. Medicare's negotiated rate is the statutory benchmark; commercial insurers typically settle between the two figures based on network contracts.

Medicine procedures like this one saw 92.4K services billed to Medicare in 2023 by 2.3K distinct providers, serving 26.6K unique beneficiaries. State-level variation is significant: Arkansas reports the lowest average payment at $29.50, while California reports the highest at $45.16. Geographic Practice Cost Indices (GPCIs) explain much of that spread — local malpractice premiums, practice expense, and physician work adjustments all shift the allowed amount even when the procedure is identical.

Applying RAND 2024 commercial-to-Medicare ratios specific to the Medicine category (2.15x), the estimated commercial insurance price lands near $114.18, with self-pay cash discounts commonly bringing the figure closer to $67.92. Uninsured patients facing the full billed charge have the strongest leverage to negotiate — the Hospital Price Transparency Rule (effective January 2021) requires providers to publish standard charges, cash rates, and payer-specific negotiated prices. This data is for educational reference; confirm coverage and out-of-pocket exposure with your insurer before any procedure.

Frequently Asked Questions

How much does Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days cost?

The national average Medicare payment for Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days (CPT 98977) is $41.01, while providers typically bill $102.14. Prices vary significantly by state, ranging from $29.50 to $45.16.

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 Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days cost with insurance?

With commercial insurance, Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days costs an estimated $114.18 on average (range: $79.93 – $159.85). Without insurance, the estimated cash price is $67.92. These estimates are based on RAND 2024 research on commercial-to-Medicare price ratios. Your actual cost depends on your insurer, plan, and provider.

Which state has the lowest cost for Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days?

Arkansas has the lowest average Medicare payment for Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days at $29.50, while California has the highest at $45.16. This $15.66 difference reflects geographic variation in healthcare costs, local cost of living, and provider market dynamics.

How many providers perform Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days?

Nationally, 2.3K providers billed Medicare for Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days in 2023, performing 92.4K total services for 26.6K beneficiaries across 44 states and territories.

What is the billed-to-Medicare markup for Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days?

Providers bill 2.5x what Medicare pays for Device Supply With Scheduled Recording And Transmission For Remote Monitoring Of Musculoskeletal System, Per 30 Days — a 149% markup. This gap between billed charges and actual payment is common across healthcare. Uninsured patients may face charges closer to the billed amount, while insured patients pay negotiated rates between the Medicare and billed figures.

Related

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