Minnesota · G0500

Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing A Gastrointestinal Endoscopic Service That Sedation Supports, Requiring The Presence Of An Independent Trained Observer To Assist In The Monito in Minnesota

Minnesota Medicare Avg
$6.41
14% above national avg
National Medicare Avg
$5.65
All states combined
Billed Charge (MN)
$103.46
What providers submit
Est. Commercial (MN)
$19.15
National avg: $16.47
Est. Cash / Self-Pay (MN)
$35.04
Typical self-pay discount

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

11.9K
Services in MN
335
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Minnesota

Provider Medicare Services
Weber, Gregory M.D. $45.45 143
Bhatti, Ahsan MD $3.91 27
Rudolph, Stephen MD $3.95 21
Link, Aaron M.D. $3.94 19
Levine, James MD $3.99 16
De La Fuente, Jaime MD $3.50 15
Weber, Gregory M.D. $4.00 15
Larson, Jon MD $4.63 12

Minnesota Pricing in Context

In Minnesota, CPT code G0500 (Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing A Gastrointestinal Endoscopic Service That Sedation Supports, Requiring The Presence Of An Independent Trained Observer To Assist In The Monito) carries an average Medicare payment of $6.41 — 14% above the national benchmark of $5.65. 335 providers across the state submitted claims for this procedure in 2023, performing 11.9K total services. Individual payments in MN 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 Minnesota is $103.46, 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 Minnesota 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 Minnesota lands near $19.15, with self-pay cash prices typically around $35.04. 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 Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing A Gastrointestinal Endoscopic Service That Sedation Supports, Requiring The Presence Of An Independent Trained Observer To Assist In The Monito cost in Minnesota?

The average Medicare payment for Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing A Gastrointestinal Endoscopic Service That Sedation Supports, Requiring The Presence Of An Independent Trained Observer To Assist In The Monito in Minnesota is $6.41, which is 14% above the national average of $5.65. Providers in MN typically bill $103.46 for this procedure.

What does Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing A Gastrointestinal Endoscopic Service That Sedation Supports, Requiring The Presence Of An Independent Trained Observer To Assist In The Monito cost with insurance in Minnesota?

With commercial insurance in Minnesota, Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing A Gastrointestinal Endoscopic Service That Sedation Supports, Requiring The Presence Of An Independent Trained Observer To Assist In The Monito costs an estimated $19.15. Without insurance, the estimated cash price is $35.04. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing A Gastrointestinal Endoscopic Service That Sedation Supports, Requiring The Presence Of An Independent Trained Observer To Assist In The Monito in Minnesota?

335 providers in Minnesota billed Medicare for Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing A Gastrointestinal Endoscopic Service That Sedation Supports, Requiring The Presence Of An Independent Trained Observer To Assist In The Monito in 2023, performing 11.9K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing A Gastrointestinal Endoscopic Service That Sedation Supports, Requiring The Presence Of An Independent Trained Observer To Assist In The Monito cheaper in Minnesota than the national average?

No — Moderate Sedation Services Provided By The Same Physician Or Other Qualified Health Care Professional Performing A Gastrointestinal Endoscopic Service That Sedation Supports, Requiring The Presence Of An Independent Trained Observer To Assist In The Monito costs 14% above the national average in Minnesota. The state average Medicare payment is $6.41 compared to $5.65 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