Montana · G2012

Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic in Montana

Montana Medicare Avg
$7.49
25% below national avg
National Medicare Avg
$9.99
All states combined
Billed Charge (MT)
$38.52
What providers submit
Est. Commercial (MT)
$26.47
National avg: $31.25
Est. Cash / Self-Pay (MT)
$20.05
Typical self-pay discount

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

130
Services in MT
13
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Montana

Provider Medicare Services
Boyle, Madelyn PA-C $7.10 41
Doty, Jennifer P.A.-C $7.02 29
Miller, Chelsey APRN $7.94 22

Montana Pricing in Context

In Montana, CPT code G2012 (Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic) carries an average Medicare payment of $7.49 — 25% below the national benchmark of $9.99. 13 providers across the state submitted claims for this procedure in 2023, performing 130 total services. Individual payments in MT 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 Montana is $38.52, 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 Montana 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 Montana lands near $26.47, with self-pay cash prices typically around $20.05. 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 Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic cost in Montana?

The average Medicare payment for Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic in Montana is $7.49, which is 25% below the national average of $9.99. Providers in MT typically bill $38.52 for this procedure.

What does Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic cost with insurance in Montana?

With commercial insurance in Montana, Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic costs an estimated $26.47. Without insurance, the estimated cash price is $20.05. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic in Montana?

13 providers in Montana billed Medicare for Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic in 2023, performing 130 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic cheaper in Montana than the national average?

Yes — Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Physician Or Other Qualified Health Care Professional Who Can Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related E/m Servic costs 25% below the national average in Montana. The state average Medicare payment is $7.49 compared to $9.99 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