Cost analysis for CPT 99239 — Hospital discharge day management, more than 30 minutes
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $114.31 vs VI at $81.40.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $114.31 | $758.9K | 6.6K | 102 |
| DC | $95.75 | $1.8M | 18.9K | 238 |
| CA | $95.21 | $41.8M | 439.5K | 5.0K |
| NY | $95.18 | $24.5M | 257.0K | 3.5K |
| NJ | $94.84 | $16.3M | 171.7K | 1.7K |
| CT | $92.51 | $5.2M | 56.0K | 762 |
| MA | $91.51 | $14.3M | 156.7K | 2.0K |
| MD | $91.26 | $10.8M | 118.3K | 1.2K |
| IL | $91.00 | $21.9M | 241.0K | 2.6K |
| HI | $90.01 | $1.2M | 13.1K | 193 |
| RI | $89.96 | $1.3M | 15.0K | 241 |
| FL | $89.72 | $39.8M | 443.2K | 4.2K |
| WA | $89.39 | $7.2M | 80.2K | 1.2K |
| DE | $89.12 | $1.9M | 21.3K | 256 |
| NV | $89.09 | $5.7M | 64.1K | 533 |
| CO | $89.02 | $5.3M | 59.8K | 954 |
| VA | $88.62 | $13.6M | 153.3K | 1.6K |
| MI | $88.61 | $13.0M | 146.3K | 2.2K |
| NH | $88.43 | $2.7M | 30.5K | 382 |
| AA | $88.36 | $12.7K | 144 | 1 |
| GU | $87.64 | $87.2K | 995 | 18 |
| PR | $87.52 | $192.4K | 2.2K | 36 |
| ME | $87.35 | $1.9M | 22.1K | 439 |
| OR | $87.35 | $3.9M | 44.9K | 845 |
| PA | $87.29 | $21.4M | 244.9K | 3.3K |
| MT | $87.05 | $1.5M | 16.9K | 255 |
| ND | $86.94 | $1.5M | 17.3K | 206 |
| AZ | $86.90 | $10.3M | 118.8K | 1.2K |
| TX | $86.80 | $32.8M | 377.7K | 4.2K |
| GA | $86.38 | $12.4M | 144.1K | 1.9K |
| WV | $86.04 | $2.6M | 30.2K | 369 |
| MO | $85.91 | $9.9M | 115.0K | 1.3K |
| NM | $85.71 | $1.7M | 20.4K | 315 |
| LA | $85.70 | $6.3M | 73.7K | 984 |
| SD | $85.49 | $1.2M | 13.7K | 218 |
| OH | $85.48 | $16.9M | 197.9K | 2.7K |
| VT | $85.22 | $744.1K | 8.7K | 139 |
| OK | $84.99 | $5.9M | 69.2K | 690 |
| MN | $84.98 | $6.1M | 71.3K | 1.5K |
| WY | $84.86 | $595.4K | 7.0K | 86 |
| NC | $84.64 | $13.2M | 156.1K | 2.4K |
| AL | $84.55 | $4.9M | 58.4K | 784 |
| SC | $84.40 | $7.5M | 88.7K | 1.1K |
| WI | $84.29 | $6.7M | 79.8K | 1.4K |
| IN | $84.24 | $9.6M | 113.5K | 1.3K |
| UT | $84.22 | $1.6M | 19.2K | 369 |
| KY | $84.15 | $7.1M | 84.8K | 1.0K |
| KS | $83.75 | $3.8M | 45.1K | 549 |
| TN | $83.43 | $8.8M | 106.0K | 1.3K |
| ID | $83.32 | $1.6M | 19.0K | 309 |
| NE | $83.23 | $2.5M | 30.5K | 468 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Richard Baker | Internal Medicine | IL | $220.0K | 2.3K | $93.92 |
| Shahin Delkhah | Internal Medicine | CA | $174.5K | 1.9K | $91.82 |
| Kirubakaran Siva | Internal Medicine | MA | $131.0K | 1.5K | $90.06 |
| Mohammed Jaleel | Internal Medicine | MA | $127.6K | 1.3K | $95.84 |
| Swati Joglekar | Internal Medicine | TX | $103.8K | 1.1K | $91.59 |
| Ghulam Anwar | Family Practice | FL | $99.7K | 1.2K | $85.69 |
| Seema Sahib | Internal Medicine | MA | $97.5K | 1.0K | $96.69 |
| Thomas Wallace | Internal Medicine | CA | $96.8K | 1.1K | $89.88 |
| Neiveen Peter | Internal Medicine | CA | $93.1K | 965 | $96.49 |
| Robert Thompson | Physical Medicine and Rehabilitation | KY | $90.8K | 1.1K | $85.13 |
| Rishi Kapila | Internal Medicine | CA | $89.5K | 867 | $103.22 |
| Kristofer Richter | Family Practice | CA | $85.4K | 947 | $90.23 |
| Travis Hird | Physical Medicine and Rehabilitation | TX | $85.0K | 973 | $87.33 |
| Geoff Weikle | Internal Medicine | TX | $79.8K | 921 | $86.65 |
| Hassan Akinbiyi | Physical Medicine and Rehabilitation | AZ | $75.6K | 858 | $88.12 |
| Nasrullah Ghafoor | Hospitalist | FL | $74.5K | 827 | $90.11 |
| Omar Colon Gutierrez | Physical Medicine and Rehabilitation | TX | $72.1K | 827 | $87.24 |
| Mahdi Paridari | Family Practice | CA | $71.4K | 736 | $96.98 |
| Joseph Paolucci | Hospitalist | FL | $71.1K | 794 | $89.56 |
| Brandon Howard | Internal Medicine | NJ | $70.7K | 721 | $98.11 |
Based on the data, CPT 99239 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.