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 Oregon
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Oregon
| Provider | Medicare | Services |
|---|---|---|
| Providence Health & Services Oregon | $180.32 | 21 |
Oregon Pricing in Context
In Oregon, 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 $180.25 — 0% above the national benchmark of $179.42. 7 providers across the state submitted claims for this procedure in 2023, performing 56 total services. Individual payments in OR 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 Oregon is $198.48, 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 Oregon 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 Oregon lands near $414.57, with self-pay cash prices typically around $189.77. 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 Oregon?
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 Oregon is $180.25, which is 0% above the national average of $179.42. Providers in OR typically bill $198.48 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 Oregon?
With commercial insurance in Oregon, 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 $414.57. Without insurance, the estimated cash price is $189.77. 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 Oregon?
7 providers in Oregon 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 56 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 Oregon 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 0% above the national average in Oregon. The state average Medicare payment is $180.25 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.