Illinois · 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 Illinois

Illinois Medicare Avg
$78.42
3% above national avg
National Medicare Avg
$75.82
All states combined
Billed Charge (IL)
$202.06
What providers submit
Est. Commercial (IL)
$231.69
National avg: $222.50
Est. Cash / Self-Pay (IL)
$136.39
Typical self-pay discount

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

545
Services in IL
76
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Illinois

Provider Medicare Services
Yunez, Karim M.D. $73.38 78
Papa, Ruksana M.D. $71.40 38
Moore, Philip M.D. $84.70 25
O'connell, John DO $82.89 24
Vento, Elio M.D. $81.53 19
D'souza, Godwin M.D. $83.17 17
Kalra, Sandeep M.D. $75.30 16
Senno, Ricardo M.D. $71.21 15

Illinois Pricing in Context

In Illinois, 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 $78.42 — 3% above the national benchmark of $75.82. 76 providers across the state submitted claims for this procedure in 2023, performing 545 total services. Individual payments in IL 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 Illinois is $202.06, 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 Illinois 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 Illinois lands near $231.69, with self-pay cash prices typically around $136.39. 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 Illinois?

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 Illinois is $78.42, which is 3% above the national average of $75.82. Providers in IL typically bill $202.06 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 Illinois?

With commercial insurance in Illinois, 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 $231.69. Without insurance, the estimated cash price is $136.39. 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 Illinois?

76 providers in Illinois 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 545 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 Illinois 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 3% above the national average in Illinois. The state average Medicare payment is $78.42 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