California · G2251

Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Qualified Health Care Professional Who Cannot Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related Service Provided Within Th in California

California Medicare Avg
$9.42
5% above national avg
National Medicare Avg
$8.93
All states combined
Billed Charge (CA)
$30.75
What providers submit
Est. Commercial (CA)
$29.96
National avg: $28.42
Est. Cash / Self-Pay (CA)
$17.82
Typical self-pay discount

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

20
Services in CA
7
Providers
N/A
Min Payment
N/A
Max Payment

California Pricing in Context

In California, CPT code G2251 (Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Qualified Health Care Professional Who Cannot Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related Service Provided Within Th) carries an average Medicare payment of $9.42 — 5% above the national benchmark of $8.93. 7 providers across the state submitted claims for this procedure in 2023, performing 20 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 $30.75, 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 $29.96, with self-pay cash prices typically around $17.82. 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 Qualified Health Care Professional Who Cannot Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related Service Provided Within Th cost in California?

The average Medicare payment for Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Qualified Health Care Professional Who Cannot Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related Service Provided Within Th in California is $9.42, which is 5% above the national average of $8.93. Providers in CA typically bill $30.75 for this procedure.

What does Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Qualified Health Care Professional Who Cannot Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related Service Provided Within Th cost with insurance in California?

With commercial insurance in California, Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Qualified Health Care Professional Who Cannot Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related Service Provided Within Th costs an estimated $29.96. Without insurance, the estimated cash price is $17.82. 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 Qualified Health Care Professional Who Cannot Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related Service Provided Within Th in California?

7 providers in California billed Medicare for Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Qualified Health Care Professional Who Cannot Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related Service Provided Within Th in 2023, performing 20 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 Qualified Health Care Professional Who Cannot Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related Service Provided Within Th cheaper in California than the national average?

No — Brief Communication Technology-Based Service, E.g. Virtual Check-In, By A Qualified Health Care Professional Who Cannot Report Evaluation And Management Services, Provided To An Established Patient, Not Originating From A Related Service Provided Within Th costs 5% above the national average in California. The state average Medicare payment is $9.42 compared to $8.93 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