Louisiana · G0323

Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring, in Louisiana

Louisiana Medicare Avg
$23.61
18% below national avg
National Medicare Avg
$28.67
All states combined
Billed Charge (LA)
$134.08
What providers submit
Est. Commercial (LA)
$67.47
National avg: $80.92
Est. Cash / Self-Pay (LA)
$59.36
Typical self-pay discount

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

85
Services in LA
1
Providers
N/A
Min Payment
N/A
Max Payment

Louisiana Pricing in Context

In Louisiana, CPT code G0323 (Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring,) carries an average Medicare payment of $23.61 — 18% below the national benchmark of $28.67. 1 providers across the state submitted claims for this procedure in 2023, performing 85 total services. Individual payments in LA 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 Louisiana is $134.08, 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 Louisiana 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 Louisiana lands near $67.47, with self-pay cash prices typically around $59.36. 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 Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring, cost in Louisiana?

The average Medicare payment for Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring, in Louisiana is $23.61, which is 18% below the national average of $28.67. Providers in LA typically bill $134.08 for this procedure.

What does Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring, cost with insurance in Louisiana?

With commercial insurance in Louisiana, Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring, costs an estimated $67.47. Without insurance, the estimated cash price is $59.36. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring, in Louisiana?

1 providers in Louisiana billed Medicare for Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring, in 2023, performing 85 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring, cheaper in Louisiana than the national average?

Yes — Care Management Services For Behavioral Health Conditions, At Least 20 Minutes Of Clinical Psychologist Or Clinical Social Worker Time, Per Calendar Month. (these Services Include The Following Required Elements: Initial Assessment Or Follow-Up Monitoring, costs 18% below the national average in Louisiana. The state average Medicare payment is $23.61 compared to $28.67 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