The Mdpp Beneficiary Achieved At Least 9% Weight Loss (wl) From His/her Baseline Weight In Months 1-24 Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 9% Weight Loss From Baseline As Measu in Oregon
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Oregon Pricing in Context
In Oregon, CPT code G9881 (The Mdpp Beneficiary Achieved At Least 9% Weight Loss (wl) From His/her Baseline Weight In Months 1-24 Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 9% Weight Loss From Baseline As Measu) carries an average Medicare payment of $37.24 — 3% above the national benchmark of $36.22. 4 providers across the state submitted claims for this procedure in 2023, performing 14 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 $42.13, 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 $85.65, with self-pay cash prices typically around $39.52. 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 9% Weight Loss (wl) From His/her Baseline Weight In Months 1-24 Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 9% Weight Loss From Baseline As Measu cost in Oregon?
The average Medicare payment for The Mdpp Beneficiary Achieved At Least 9% Weight Loss (wl) From His/her Baseline Weight In Months 1-24 Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 9% Weight Loss From Baseline As Measu in Oregon is $37.24, which is 3% above the national average of $36.22. Providers in OR typically bill $42.13 for this procedure.
What does The Mdpp Beneficiary Achieved At Least 9% Weight Loss (wl) From His/her Baseline Weight In Months 1-24 Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 9% Weight Loss From Baseline As Measu cost with insurance in Oregon?
With commercial insurance in Oregon, The Mdpp Beneficiary Achieved At Least 9% Weight Loss (wl) From His/her Baseline Weight In Months 1-24 Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 9% Weight Loss From Baseline As Measu costs an estimated $85.65. Without insurance, the estimated cash price is $39.52. 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 9% Weight Loss (wl) From His/her Baseline Weight In Months 1-24 Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 9% Weight Loss From Baseline As Measu in Oregon?
4 providers in Oregon billed Medicare for The Mdpp Beneficiary Achieved At Least 9% Weight Loss (wl) From His/her Baseline Weight In Months 1-24 Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 9% Weight Loss From Baseline As Measu in 2023, performing 14 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is The Mdpp Beneficiary Achieved At Least 9% Weight Loss (wl) From His/her Baseline Weight In Months 1-24 Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 9% Weight Loss From Baseline As Measu cheaper in Oregon than the national average?
No — The Mdpp Beneficiary Achieved At Least 9% Weight Loss (wl) From His/her Baseline Weight In Months 1-24 Under The Mdpp Expanded Model (em). This Is A One-Time Payment Available When A Beneficiary First Achieves At Least 9% Weight Loss From Baseline As Measu costs 3% above the national average in Oregon. The state average Medicare payment is $37.24 compared to $36.22 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.