Rhode Island · 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 Rhode Island

Rhode Island Medicare Avg
$9.08
9% below national avg
National Medicare Avg
$9.99
All states combined
Billed Charge (RI)
$26.79
What providers submit
Est. Commercial (RI)
$32.63
National avg: $31.25
Est. Cash / Self-Pay (RI)
$17.36
Typical self-pay discount

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

377
Services in RI
19
Providers
N/A
Min Payment
N/A
Max Payment

Rhode Island Pricing in Context

In Rhode Island, 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 $9.08 — 9% below the national benchmark of $9.99. 19 providers across the state submitted claims for this procedure in 2023, performing 377 total services. Individual payments in RI 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 Rhode Island is $26.79, 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 Rhode Island 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 Rhode Island lands near $32.63, with self-pay cash prices typically around $17.36. 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 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 Rhode Island?

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 Rhode Island is $9.08, which is 9% below the national average of $9.99. Providers in RI typically bill $26.79 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 Rhode Island?

With commercial insurance in Rhode Island, 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 $32.63. Without insurance, the estimated cash price is $17.36. 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 Rhode Island?

19 providers in Rhode Island 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 377 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 Rhode Island 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 9% below the national average in Rhode Island. The state average Medicare payment is $9.08 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