Nevada · 99152

Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes in Nevada

Nevada Medicare Avg
$11.38
15% below national avg
National Medicare Avg
$13.31
All states combined
Billed Charge (NV)
$140.75
What providers submit
Est. Commercial (NV)
$34.40
National avg: $37.59
Est. Cash / Self-Pay (NV)
$49.46
Typical self-pay discount

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

12.7K
Services in NV
466
Providers
N/A
Min Payment
N/A
Max Payment

Nevada Pricing in Context

In Nevada, CPT code 99152 (Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes) carries an average Medicare payment of $11.38 — 15% below the national benchmark of $13.31. 466 providers across the state submitted claims for this procedure in 2023, performing 12.7K total services. Individual payments in NV ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Nevada is $140.75, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Nevada sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Other procedures, the estimated commercial insurance price in Nevada lands near $34.40, with self-pay cash prices typically around $49.46. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes cost in Nevada?

The average Medicare payment for Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes in Nevada is $11.38, which is 15% below the national average of $13.31. Providers in NV typically bill $140.75 for this procedure.

What does Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes cost with insurance in Nevada?

With commercial insurance in Nevada, Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes costs an estimated $34.40. Without insurance, the estimated cash price is $49.46. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes in Nevada?

466 providers in Nevada billed Medicare for Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes in 2023, performing 12.7K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes cheaper in Nevada than the national average?

Yes — Use Of A Drug To Induce Depression Of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes costs 15% below the national average in Nevada. The state average Medicare payment is $11.38 compared to $13.31 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

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