How Much Does Transitional care management services for problem of high complexity Cost on Medicare?

The data suggests significant pricing inconsistencies for CPT 99496. With a 2.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have risen 11.4% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.

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.