Utah · 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 Utah

Utah Medicare Avg
$59.84
21% below national avg
National Medicare Avg
$75.82
All states combined
Billed Charge (UT)
$135.38
What providers submit
Est. Commercial (UT)
$196.32
National avg: $222.50
Est. Cash / Self-Pay (UT)
$104.16
Typical self-pay discount

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

461
Services in UT
11
Providers
N/A
Min Payment
N/A
Max Payment

Utah Pricing in Context

In Utah, 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 $59.84 — 21% below the national benchmark of $75.82. 11 providers across the state submitted claims for this procedure in 2023, performing 461 total services. Individual payments in UT 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 Utah is $135.38, 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 Utah 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 Temporary Procedures procedures, the estimated commercial insurance price in Utah lands near $196.32, with self-pay cash prices typically around $104.16. 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 Utah?

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 Utah is $59.84, which is 21% below the national average of $75.82. Providers in UT typically bill $135.38 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 Utah?

With commercial insurance in Utah, 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 $196.32. Without insurance, the estimated cash price is $104.16. 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 Utah?

11 providers in Utah 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 461 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 Utah than the national average?

Yes — 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 21% below the national average in Utah. The state average Medicare payment is $59.84 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