Nevada · G2074

Medication Assisted Treatment, Weekly Bundle Not Including The Drug, Including Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program) in Nevada

Nevada Medicare Avg
$191.88
2% above national avg
National Medicare Avg
$189.03
All states combined
Billed Charge (NV)
$198.96
What providers submit
Est. Commercial (NV)
$468.10
National avg: $431.43
Est. Cash / Self-Pay (NV)
$201.00
Typical self-pay discount

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

401
Services in NV
5
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Nevada

Provider Medicare Services
Center For Behavioral Health Las... $191.75 129

Nevada Pricing in Context

In Nevada, CPT code G2074 (Medication Assisted Treatment, Weekly Bundle Not Including The Drug, Including Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program)) carries an average Medicare payment of $191.88 — 2% above the national benchmark of $189.03. 5 providers across the state submitted claims for this procedure in 2023, performing 401 total services. Individual payments in NV 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 Nevada is $198.96, 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 Nevada 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 Nevada lands near $468.10, with self-pay cash prices typically around $201.00. 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, Weekly Bundle Not Including The Drug, Including Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program) cost in Nevada?

The average Medicare payment for Medication Assisted Treatment, Weekly Bundle Not Including The Drug, Including Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program) in Nevada is $191.88, which is 2% above the national average of $189.03. Providers in NV typically bill $198.96 for this procedure.

What does Medication Assisted Treatment, Weekly Bundle Not Including The Drug, Including Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program) cost with insurance in Nevada?

With commercial insurance in Nevada, Medication Assisted Treatment, Weekly Bundle Not Including The Drug, Including Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program) costs an estimated $468.10. Without insurance, the estimated cash price is $201.00. 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, Weekly Bundle Not Including The Drug, Including Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program) in Nevada?

5 providers in Nevada billed Medicare for Medication Assisted Treatment, Weekly Bundle Not Including The Drug, Including Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program) in 2023, performing 401 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Medication Assisted Treatment, Weekly Bundle Not Including The Drug, Including Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program) cheaper in Nevada than the national average?

No — Medication Assisted Treatment, Weekly Bundle Not Including The Drug, Including Substance Use Counseling, Individual And Group Therapy, And Toxicology Testing If Performed (provision Of The Services By A Medicare-Enrolled Opioid Treatment Program) costs 2% above the national average in Nevada. The state average Medicare payment is $191.88 compared to $189.03 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