California · G2076

Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in California

California Medicare Avg
$186.89
7% above national avg
National Medicare Avg
$174.62
All states combined
Billed Charge (CA)
$224.69
What providers submit
Est. Commercial (CA)
$485.30
National avg: $414.86
Est. Cash / Self-Pay (CA)
$213.45
Typical self-pay discount

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

510
Services in CA
65
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in California

Provider Medicare Services
Treatment Associates, Inc. $174.87 28
Aegis Treatment Centers, Llc $159.87 25
Aegis Treatment Centers, Llc $174.00 22
Aegis Treatment Centers, Llc $195.99 22
Aegis Treatment Centers, Llc $179.12 21
Aegis Treatment Centers, Llc $194.47 16
Aegis Treatment Centers, Llc $164.32 14
San Diego Health Alliance $189.36 14
Aegis Treatment Centers, Llc $186.30 14
Aegis Treatment Centers, Llc $170.97 13
San Diego Treatment Services, Llc $185.39 11
Marin Treatment Center $144.36 11

California Pricing in Context

In California, CPT code G2076 (Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A) carries an average Medicare payment of $186.89 — 7% above the national benchmark of $174.62. 65 providers across the state submitted claims for this procedure in 2023, performing 510 total services. Individual payments in CA 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 California is $224.69, 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 California 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 California lands near $485.30, with self-pay cash prices typically around $213.45. 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 Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cost in California?

The average Medicare payment for Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in California is $186.89, which is 7% above the national average of $174.62. Providers in CA typically bill $224.69 for this procedure.

What does Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cost with insurance in California?

With commercial insurance in California, Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A costs an estimated $485.30. Without insurance, the estimated cash price is $213.45. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in California?

65 providers in California billed Medicare for Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A in 2023, performing 510 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A cheaper in California than the national average?

No — Intake Activities, Including Initial Medical Examination That Is A Complete, Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Care Physician, Or An Authorized Healthcare Professional Under The Supervision Of A costs 7% above the national average in California. The state average Medicare payment is $186.89 compared to $174.62 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