Cost analysis for CPT 99283 — Emergency department visit with low level of medical decision making
Average Medicare Payment
$51.08
2023 data
Total Payments (2023)
$46.7M
Services (2023)
919.6K
Price Change (2014–2023)
+17.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $43.59 | $149.3M | 3.4M | — |
| 2015 | $44.05 | $149.0M | 3.4M | +1.1% |
| 2016 | $43.70 | $142.9M | 3.3M | -0.8% |
| 2017 | $43.94 | $133.7M | 3.1M | +0.5% |
| 2018 | $43.84 | $124.9M | 2.9M | -0.2% |
| 2019 | $44.10 | $114.5M | 2.6M | +0.6% |
| 2020 | $47.15 | $86.0M | 1.8M | +6.9% |
| 2021 | $53.56 | $96.4M | 1.8M | +13.6% |
| 2022 | $52.90 | $93.5M | 1.8M | -1.2% |
| 2023 | $51.08 | $46.7M | 919.6K | -3.4% |
The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $61.99 vs ID at $45.64.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $61.99 | $231.4K | 3.7K | 113 |
| NY | $57.15 | $3.5M | 60.9K | 2.3K |
| AP | $56.77 | $9.2K | 162 | 4 |
| NJ | $54.62 | $1.2M | 22.8K | 890 |
| FL | $54.08 | $3.1M | 57.9K | 1.9K |
| GU | $53.87 | $29.5K | 548 | 14 |
| DC | $53.41 | $208.7K | 3.9K | 129 |
| DE | $53.00 | $114.1K | 2.2K | 88 |
| NV | $52.57 | $307.3K | 5.8K | 243 |
| RI | $52.34 | $216.4K | 4.1K | 158 |
| CT | $52.31 | $852.6K | 16.3K | 484 |
| MA | $52.00 | $1.4M | 26.2K | 927 |
| IL | $51.94 | $2.3M | 43.8K | 1.4K |
| MI | $51.61 | $1.7M | 32.1K | 1.2K |
| PA | $51.43 | $2.1M | 41.7K | 1.6K |
| CA | $51.42 | $2.8M | 53.7K | 2.0K |
| MD | $51.02 | $716.8K | 14.0K | 563 |
| PR | $50.60 | $260.7K | 5.2K | 137 |
| HI | $50.49 | $89.4K | 1.8K | 78 |
| NM | $50.46 | $382.7K | 7.6K | 218 |
| OH | $50.41 | $1.9M | 38.0K | 1.4K |
| WA | $50.31 | $557.8K | 11.1K | 424 |
| SC | $50.15 | $1.5M | 29.4K | 824 |
| TX | $50.12 | $2.7M | 53.1K | 1.9K |
| GA | $50.02 | $820.3K | 16.4K | 658 |
| LA | $49.98 | $366.4K | 7.3K | 292 |
| CO | $49.81 | $658.1K | 13.2K | 536 |
| VA | $49.79 | $979.9K | 19.7K | 773 |
| NH | $49.79 | $278.7K | 5.6K | 167 |
| WV | $49.71 | $596.4K | 12.0K | 311 |
| MO | $49.56 | $1.2M | 23.8K | 713 |
| TN | $49.29 | $870.0K | 17.7K | 663 |
| MT | $49.18 | $322.5K | 6.6K | 133 |
| ND | $49.04 | $148.0K | 3.0K | 78 |
| NC | $48.88 | $1.1M | 22.6K | 809 |
| AZ | $48.85 | $937.4K | 19.2K | 587 |
| KY | $48.74 | $789.5K | 16.2K | 540 |
| OR | $48.66 | $581.7K | 12.0K | 388 |
| UT | $48.57 | $243.6K | 5.0K | 183 |
| OK | $48.51 | $1.2M | 25.0K | 626 |
| IN | $48.45 | $1.0M | 20.7K | 724 |
| ME | $48.29 | $468.0K | 9.7K | 246 |
| MN | $48.14 | $787.1K | 16.4K | 618 |
| MS | $48.08 | $785.2K | 16.3K | 356 |
| VT | $48.04 | $247.9K | 5.2K | 109 |
| KS | $47.87 | $639.2K | 13.4K | 340 |
| WY | $47.83 | $132.9K | 2.8K | 63 |
| AL | $47.78 | $563.7K | 11.8K | 398 |
| WI | $47.60 | $940.3K | 19.8K | 646 |
| SD | $47.54 | $178.9K | 3.8K | 84 |
| AR | $47.53 | $648.8K | 13.7K | 342 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Carlos Alvarez | Emergency Medicine | PR | $24.9K | 459 | $54.31 |
| Shawn Southwick | Emergency Medicine | KS | $20.9K | 423 | $49.33 |
| Susan Hackman-Quinty | Family Practice | SC | $18.2K | 339 | $53.57 |
| Deacon Vice | Emergency Medicine | OK | $18.0K | 370 | $48.75 |
| Fredric De Picciotto | Emergency Medicine | CA | $17.6K | 368 | $47.69 |
| Reggie Henderson | Family Practice | TN | $17.5K | 349 | $50.17 |
| Jeremy Campbell | Emergency Medicine | OK | $17.2K | 341 | $50.40 |
| Tuan Luu | Emergency Medicine | CA | $16.8K | 376 | $44.76 |
| William Reisinger | Emergency Medicine | OH | $15.9K | 315 | $50.58 |
| Arthur Bernard Fajardo | Family Practice | TX | $15.7K | 314 | $49.99 |
| Erica Katz | Emergency Medicine | OH | $15.6K | 251 | $62.31 |
| Paul Weinberger | Emergency Medicine | KY | $15.1K | 306 | $49.35 |
| Eric Gerdes | Emergency Medicine | CA | $15.0K | 300 | $50.07 |
| Claire Clifton | Emergency Medicine | CA | $15.0K | 293 | $51.18 |
| Michael Parrott | Emergency Medicine | NY | $15.0K | 236 | $63.49 |
| Christopher Occhino | Emergency Medicine | NC | $14.9K | 302 | $49.20 |
| Daniel Harrigan | Emergency Medicine | ME | $14.0K | 318 | $44.02 |
| Kevin Roberts | Nurse Practitioner | FL | $13.7K | 283 | $48.48 |
| Kenneth Moses | Emergency Medicine | CA | $13.7K | 249 | $55.09 |
| John Jerstad | Internal Medicine | SD | $13.4K | 279 | $48.16 |
Based on the data, CPT 99283 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 17.2% since 2014. 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.