Delaware · G0182

Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien in Delaware

Delaware Medicare Avg
$81.42
7% above national avg
National Medicare Avg
$75.82
All states combined
Billed Charge (DE)
$187.89
What providers submit
Est. Commercial (DE)
$229.93
National avg: $222.50
Est. Cash / Self-Pay (DE)
$128.31
Typical self-pay discount

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

28
Services in DE
2
Providers
N/A
Min Payment
N/A
Max Payment

Delaware Pricing in Context

In Delaware, CPT code G0182 (Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien) carries an average Medicare payment of $81.42 — 7% above the national benchmark of $75.82. 2 providers across the state submitted claims for this procedure in 2023, performing 28 total services. Individual payments in DE 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 Delaware is $187.89, 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 Delaware sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Delaware lands near $229.93, with self-pay cash prices typically around $128.31. 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 Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien cost in Delaware?

The average Medicare payment for Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien in Delaware is $81.42, which is 7% above the national average of $75.82. Providers in DE typically bill $187.89 for this procedure.

What does Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien cost with insurance in Delaware?

With commercial insurance in Delaware, Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien costs an estimated $229.93. Without insurance, the estimated cash price is $128.31. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien in Delaware?

2 providers in Delaware billed Medicare for Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien in 2023, performing 28 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien cheaper in Delaware than the national average?

No — Physician Supervision Of A Patient Under A Medicare-Approved Hospice (patient Not Present) Requiring Complex And Multidisciplinary Care Modalities Involving Regular Physician Development And/or Revision Of Care Plans, Review Of Subsequent Reports Of Patien costs 7% above the national average in Delaware. The state average Medicare payment is $81.42 compared to $75.82 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