Two Medicare Diabetes Prevention Program (mdpp) Core Maintenance Sessions (ms) Were Attended By An Mdpp Beneficiary In Months (mo) 7-9 Under The Mdpp Expanded Model (em). A Core Maintenance Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Suppl in South Carolina
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in South Carolina
| Provider | Medicare | Services |
|---|---|---|
| Medical University Hospital... | $74.48 | 12 |
South Carolina Pricing in Context
In South Carolina, CPT code G9876 (Two Medicare Diabetes Prevention Program (mdpp) Core Maintenance Sessions (ms) Were Attended By An Mdpp Beneficiary In Months (mo) 7-9 Under The Mdpp Expanded Model (em). A Core Maintenance Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Suppl) carries an average Medicare payment of $62.78 — 5% above the national benchmark of $59.59. 3 providers across the state submitted claims for this procedure in 2023, performing 17 total services. Individual payments in SC 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 South Carolina is $64.06, 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 South Carolina 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 South Carolina lands near $147.53, with self-pay cash prices typically around $64.70. 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 Two Medicare Diabetes Prevention Program (mdpp) Core Maintenance Sessions (ms) Were Attended By An Mdpp Beneficiary In Months (mo) 7-9 Under The Mdpp Expanded Model (em). A Core Maintenance Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Suppl cost in South Carolina?
The average Medicare payment for Two Medicare Diabetes Prevention Program (mdpp) Core Maintenance Sessions (ms) Were Attended By An Mdpp Beneficiary In Months (mo) 7-9 Under The Mdpp Expanded Model (em). A Core Maintenance Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Suppl in South Carolina is $62.78, which is 5% above the national average of $59.59. Providers in SC typically bill $64.06 for this procedure.
What does Two Medicare Diabetes Prevention Program (mdpp) Core Maintenance Sessions (ms) Were Attended By An Mdpp Beneficiary In Months (mo) 7-9 Under The Mdpp Expanded Model (em). A Core Maintenance Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Suppl cost with insurance in South Carolina?
With commercial insurance in South Carolina, Two Medicare Diabetes Prevention Program (mdpp) Core Maintenance Sessions (ms) Were Attended By An Mdpp Beneficiary In Months (mo) 7-9 Under The Mdpp Expanded Model (em). A Core Maintenance Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Suppl costs an estimated $147.53. Without insurance, the estimated cash price is $64.70. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Two Medicare Diabetes Prevention Program (mdpp) Core Maintenance Sessions (ms) Were Attended By An Mdpp Beneficiary In Months (mo) 7-9 Under The Mdpp Expanded Model (em). A Core Maintenance Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Suppl in South Carolina?
3 providers in South Carolina billed Medicare for Two Medicare Diabetes Prevention Program (mdpp) Core Maintenance Sessions (ms) Were Attended By An Mdpp Beneficiary In Months (mo) 7-9 Under The Mdpp Expanded Model (em). A Core Maintenance Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Suppl in 2023, performing 17 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Two Medicare Diabetes Prevention Program (mdpp) Core Maintenance Sessions (ms) Were Attended By An Mdpp Beneficiary In Months (mo) 7-9 Under The Mdpp Expanded Model (em). A Core Maintenance Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Suppl cheaper in South Carolina than the national average?
No — Two Medicare Diabetes Prevention Program (mdpp) Core Maintenance Sessions (ms) Were Attended By An Mdpp Beneficiary In Months (mo) 7-9 Under The Mdpp Expanded Model (em). A Core Maintenance Session Is An Mdpp Service That: (1) Is Furnished By An Mdpp Suppl costs 5% above the national average in South Carolina. The state average Medicare payment is $62.78 compared to $59.59 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.