Texas · G0247

Routine Foot Care By A Physician Of A Diabetic Patient With Diabetic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (lops) To Include, The Local Care Of Superficial Wounds (i.e. Superficial To Muscle And Fascia) And At Least The Following I in Texas

Texas Medicare Avg
$47.83
6% below national avg
National Medicare Avg
$51.03
All states combined
Billed Charge (TX)
$112.41
What providers submit
Est. Commercial (TX)
$154.28
National avg: $159.80
Est. Cash / Self-Pay (TX)
$81.22
Typical self-pay discount

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

556
Services in TX
30
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Texas

Provider Medicare Services
Chaney, Dennis DPM $55.93 130

Texas Pricing in Context

In Texas, CPT code G0247 (Routine Foot Care By A Physician Of A Diabetic Patient With Diabetic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (lops) To Include, The Local Care Of Superficial Wounds (i.e. Superficial To Muscle And Fascia) And At Least The Following I) carries an average Medicare payment of $47.83 — 6% below the national benchmark of $51.03. 30 providers across the state submitted claims for this procedure in 2023, performing 556 total services. Individual payments in TX 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 Texas is $112.41, 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 Texas 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 Texas lands near $154.28, with self-pay cash prices typically around $81.22. 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 Routine Foot Care By A Physician Of A Diabetic Patient With Diabetic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (lops) To Include, The Local Care Of Superficial Wounds (i.e. Superficial To Muscle And Fascia) And At Least The Following I cost in Texas?

The average Medicare payment for Routine Foot Care By A Physician Of A Diabetic Patient With Diabetic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (lops) To Include, The Local Care Of Superficial Wounds (i.e. Superficial To Muscle And Fascia) And At Least The Following I in Texas is $47.83, which is 6% below the national average of $51.03. Providers in TX typically bill $112.41 for this procedure.

What does Routine Foot Care By A Physician Of A Diabetic Patient With Diabetic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (lops) To Include, The Local Care Of Superficial Wounds (i.e. Superficial To Muscle And Fascia) And At Least The Following I cost with insurance in Texas?

With commercial insurance in Texas, Routine Foot Care By A Physician Of A Diabetic Patient With Diabetic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (lops) To Include, The Local Care Of Superficial Wounds (i.e. Superficial To Muscle And Fascia) And At Least The Following I costs an estimated $154.28. Without insurance, the estimated cash price is $81.22. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Routine Foot Care By A Physician Of A Diabetic Patient With Diabetic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (lops) To Include, The Local Care Of Superficial Wounds (i.e. Superficial To Muscle And Fascia) And At Least The Following I in Texas?

30 providers in Texas billed Medicare for Routine Foot Care By A Physician Of A Diabetic Patient With Diabetic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (lops) To Include, The Local Care Of Superficial Wounds (i.e. Superficial To Muscle And Fascia) And At Least The Following I in 2023, performing 556 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Routine Foot Care By A Physician Of A Diabetic Patient With Diabetic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (lops) To Include, The Local Care Of Superficial Wounds (i.e. Superficial To Muscle And Fascia) And At Least The Following I cheaper in Texas than the national average?

Yes — Routine Foot Care By A Physician Of A Diabetic Patient With Diabetic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (lops) To Include, The Local Care Of Superficial Wounds (i.e. Superficial To Muscle And Fascia) And At Least The Following I costs 6% below the national average in Texas. The state average Medicare payment is $47.83 compared to $51.03 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