Nine Total Medicare Diabetes Prevention Program (mdpp) Core Sessions Were Attended By An Mdpp Beneficiary Under The Mdpp Expanded Model (em). A Core Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Supplier During Months 1 Through 6 Of The Mdpp in Maryland
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Maryland
| Provider | Medicare | Services |
|---|---|---|
| Johns Hopkins University | $187.18 | 57 |
| Frederick Health Medical Group Llc | $137.20 | 53 |
Maryland Pricing in Context
In Maryland, CPT code G9875 (Nine Total Medicare Diabetes Prevention Program (mdpp) Core Sessions Were Attended By An Mdpp Beneficiary Under The Mdpp Expanded Model (em). A Core Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Supplier During Months 1 Through 6 Of The Mdpp) carries an average Medicare payment of $159.59 — 7% below the national benchmark of $171.09. 6 providers across the state submitted claims for this procedure in 2023, performing 127 total services. Individual payments in MD 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 Maryland is $181.76, 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 Maryland 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 Maryland lands near $319.17, with self-pay cash prices typically around $169.67. 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 Nine Total Medicare Diabetes Prevention Program (mdpp) Core Sessions Were Attended By An Mdpp Beneficiary Under The Mdpp Expanded Model (em). A Core Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Supplier During Months 1 Through 6 Of The Mdpp cost in Maryland?
The average Medicare payment for Nine Total Medicare Diabetes Prevention Program (mdpp) Core Sessions Were Attended By An Mdpp Beneficiary Under The Mdpp Expanded Model (em). A Core Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Supplier During Months 1 Through 6 Of The Mdpp in Maryland is $159.59, which is 7% below the national average of $171.09. Providers in MD typically bill $181.76 for this procedure.
What does Nine Total Medicare Diabetes Prevention Program (mdpp) Core Sessions Were Attended By An Mdpp Beneficiary Under The Mdpp Expanded Model (em). A Core Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Supplier During Months 1 Through 6 Of The Mdpp cost with insurance in Maryland?
With commercial insurance in Maryland, Nine Total Medicare Diabetes Prevention Program (mdpp) Core Sessions Were Attended By An Mdpp Beneficiary Under The Mdpp Expanded Model (em). A Core Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Supplier During Months 1 Through 6 Of The Mdpp costs an estimated $319.17. Without insurance, the estimated cash price is $169.67. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Nine Total Medicare Diabetes Prevention Program (mdpp) Core Sessions Were Attended By An Mdpp Beneficiary Under The Mdpp Expanded Model (em). A Core Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Supplier During Months 1 Through 6 Of The Mdpp in Maryland?
6 providers in Maryland billed Medicare for Nine Total Medicare Diabetes Prevention Program (mdpp) Core Sessions Were Attended By An Mdpp Beneficiary Under The Mdpp Expanded Model (em). A Core Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Supplier During Months 1 Through 6 Of The Mdpp in 2023, performing 127 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Nine Total Medicare Diabetes Prevention Program (mdpp) Core Sessions Were Attended By An Mdpp Beneficiary Under The Mdpp Expanded Model (em). A Core Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Supplier During Months 1 Through 6 Of The Mdpp cheaper in Maryland than the national average?
Yes — Nine Total Medicare Diabetes Prevention Program (mdpp) Core Sessions Were Attended By An Mdpp Beneficiary Under The Mdpp Expanded Model (em). A Core Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Supplier During Months 1 Through 6 Of The Mdpp costs 7% below the national average in Maryland. The state average Medicare payment is $159.59 compared to $171.09 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.