Texas · G2067

Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/or Administration, Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing, If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatm in Texas

Texas Medicare Avg
$222.11
4% above national avg
National Medicare Avg
$213.86
All states combined
Billed Charge (TX)
$300.00
What providers submit
Est. Commercial (TX)
$521.85
National avg: $488.49
Est. Cash / Self-Pay (TX)
$252.67
Typical self-pay discount

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

12.0K
Services in TX
54
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Texas

Provider Medicare Services
Texas Treatment Services Llc $234.38 1.7K

Texas Pricing in Context

In Texas, CPT code G2067 (Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/or Administration, Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing, If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatm) carries an average Medicare payment of $222.11 — 4% above the national benchmark of $213.86. 54 providers across the state submitted claims for this procedure in 2023, performing 12.0K 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 $300.00, 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 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 Texas lands near $521.85, with self-pay cash prices typically around $252.67. 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 Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/or Administration, Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing, If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatm cost in Texas?

The average Medicare payment for Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/or Administration, Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing, If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatm in Texas is $222.11, which is 4% above the national average of $213.86. Providers in TX typically bill $300.00 for this procedure.

What does Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/or Administration, Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing, If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatm cost with insurance in Texas?

With commercial insurance in Texas, Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/or Administration, Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing, If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatm costs an estimated $521.85. Without insurance, the estimated cash price is $252.67. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/or Administration, Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing, If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatm in Texas?

54 providers in Texas billed Medicare for Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/or Administration, Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing, If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatm in 2023, performing 12.0K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/or Administration, Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing, If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatm cheaper in Texas than the national average?

No — Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/or Administration, Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing, If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatm costs 4% above the national average in Texas. The state average Medicare payment is $222.11 compared to $213.86 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