The Mdpp Beneficiary Achieved At Least 5% Weight Loss (wl) From His/her Baseline Weight In Months 1-12 Of The Mdpp Services Period Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 5% Weight in Florida
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Florida Pricing in Context
In Florida, CPT code G9880 (The Mdpp Beneficiary Achieved At Least 5% Weight Loss (wl) From His/her Baseline Weight In Months 1-12 Of The Mdpp Services Period Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 5% Weight) carries an average Medicare payment of $180.32 — 1% above the national benchmark of $179.42. 4 providers across the state submitted claims for this procedure in 2023, performing 15 total services. Individual payments in FL 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 Florida is $214.67, 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 Florida 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 Florida lands near $423.75, with self-pay cash prices typically around $194.27. 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 The Mdpp Beneficiary Achieved At Least 5% Weight Loss (wl) From His/her Baseline Weight In Months 1-12 Of The Mdpp Services Period Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 5% Weight cost in Florida?
The average Medicare payment for The Mdpp Beneficiary Achieved At Least 5% Weight Loss (wl) From His/her Baseline Weight In Months 1-12 Of The Mdpp Services Period Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 5% Weight in Florida is $180.32, which is 1% above the national average of $179.42. Providers in FL typically bill $214.67 for this procedure.
What does The Mdpp Beneficiary Achieved At Least 5% Weight Loss (wl) From His/her Baseline Weight In Months 1-12 Of The Mdpp Services Period Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 5% Weight cost with insurance in Florida?
With commercial insurance in Florida, The Mdpp Beneficiary Achieved At Least 5% Weight Loss (wl) From His/her Baseline Weight In Months 1-12 Of The Mdpp Services Period Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 5% Weight costs an estimated $423.75. Without insurance, the estimated cash price is $194.27. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform The Mdpp Beneficiary Achieved At Least 5% Weight Loss (wl) From His/her Baseline Weight In Months 1-12 Of The Mdpp Services Period Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 5% Weight in Florida?
4 providers in Florida billed Medicare for The Mdpp Beneficiary Achieved At Least 5% Weight Loss (wl) From His/her Baseline Weight In Months 1-12 Of The Mdpp Services Period Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 5% Weight in 2023, performing 15 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is The Mdpp Beneficiary Achieved At Least 5% Weight Loss (wl) From His/her Baseline Weight In Months 1-12 Of The Mdpp Services Period Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 5% Weight cheaper in Florida than the national average?
No — The Mdpp Beneficiary Achieved At Least 5% Weight Loss (wl) From His/her Baseline Weight In Months 1-12 Of The Mdpp Services Period Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 5% Weight costs 1% above the national average in Florida. The state average Medicare payment is $180.32 compared to $179.42 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.