Cost analysis for CPT G2067 — Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm
Average Medicare Payment
N/A
Total Payments (Latest)
N/A
Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 3.8x more than the cheapest for this procedure. AK averages $288.25 vs NV at $74.88.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $288.25 | $720.3K | 2.5K | 3 |
| DC | $266.35 | $1.3M | 4.7K | 2 |
| MA | $247.13 | $25.8M | 104.3K | 13 |
| NH | $241.98 | $3.8M | 15.8K | 8 |
| CO | $239.99 | $1.6M | 6.6K | 10 |
| NJ | $239.47 | $7.7M | 32.1K | 34 |
| CT | $238.19 | $4.8M | 20.2K | 12 |
| NY | $238.09 | $10.0M | 41.9K | 43 |
| MT | $238.05 | $402.8K | 1.7K | 3 |
| MD | $236.85 | $17.5M | 74.0K | 63 |
| OR | $236.60 | $2.9M | 12.2K | 14 |
| VA | $235.14 | $2.8M | 11.9K | 21 |
| ND | $235.09 | $305.1K | 1.3K | 2 |
| HI | $231.41 | $349.0K | 1.5K | 3 |
| FL | $230.66 | $4.5M | 19.6K | 31 |
| NM | $229.94 | $1.6M | 7.0K | 11 |
| LA | $229.25 | $1.1M | 4.9K | 8 |
| MI | $229.22 | $6.0M | 26.3K | 29 |
| PA | $228.94 | $6.8M | 29.7K | 50 |
| MN | $228.77 | $3.0M | 12.9K | 11 |
| WV | $228.65 | $1.7M | 7.3K | 8 |
| IL | $227.93 | $2.7M | 11.6K | 22 |
| RI | $227.65 | $1.3M | 5.6K | 9 |
| GA | $227.41 | $3.5M | 15.3K | 25 |
| OH | $226.70 | $2.0M | 8.9K | 21 |
| ME | $226.51 | $2.9M | 12.8K | 11 |
| OK | $225.77 | $1.2M | 5.2K | 4 |
| WI | $225.64 | $2.8M | 12.6K | 12 |
| KS | $225.49 | $485.7K | 2.2K | 3 |
| NC | $224.92 | $3.6M | 15.8K | 32 |
| UT | $224.92 | $635.2K | 2.8K | 8 |
| NE | $224.81 | $156.2K | 695 | 2 |
| IA | $224.72 | $391.7K | 1.7K | 3 |
| MO | $224.25 | $617.8K | 2.8K | 7 |
| KY | $223.85 | $3.5M | 15.8K | 21 |
| IN | $223.80 | $3.3M | 14.6K | 16 |
| ID | $223.80 | $235.9K | 1.1K | 1 |
| WA | $222.58 | $4.3M | 19.3K | 19 |
| TN | $222.14 | $2.8M | 12.5K | 18 |
| AR | $220.65 | $110.3K | 500 | 1 |
| MS | $220.02 | $384.4K | 1.7K | 4 |
| DE | $219.08 | $1.2M | 5.4K | 6 |
| TX | $218.14 | $1.8M | 8.3K | 19 |
| SC | $218.11 | $2.1M | 9.6K | 19 |
| VT | $212.84 | $2.2M | 10.2K | 7 |
| AL | $188.17 | $3.1M | 16.5K | 16 |
| CA | $178.81 | $37.2M | 208.0K | 116 |
| AZ | $156.53 | $2.0M | 12.6K | 19 |
| NV | $74.88 | $1.7M | 23.0K | 10 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Habit Opco, Llc | Opioid Treatment Program | MA | $9.4M | 38.5K | $243.77 |
| Spectrum Health Systems, Inc | Opioid Treatment Program | MA | $5.8M | 22.4K | $260.87 |
| Community Health Care, Inc. | Opioid Treatment Program | MA | $4.8M | 19.5K | $247.79 |
| Hartford Dispensary | Opioid Treatment Program | CT | $1.5M | 6.8K | $217.62 |
| Behavioral Health Network, Inc | Opioid Treatment Program | MA | $1.2M | 5.8K | $204.57 |
| Quality Addiction Management, Inc. | Opioid Treatment Program | WI | $1.2M | 5.1K | $228.79 |
| Montefiore Medical Center | Opioid Treatment Program | NY | $1.2M | 4.2K | $271.95 |
| Apt Foundation Inc | Opioid Treatment Program | CT | $1.1M | 4.5K | $251.35 |
| Gifford Street Wellness Center, Llc | Opioid Treatment Program | MA | $1.1M | 4.4K | $245.91 |
| Merrimack River Medical Services, Inc. | Opioid Treatment Program | NH | $1.1M | 4.4K | $241.98 |
| Camden Treatment Associates Llc | Opioid Treatment Program | NJ | $969.8K | 3.8K | $254.67 |
| Turning Point Clinic Inc. | Opioid Treatment Program | MD | $946.3K | 4.1K | $230.59 |
| Addiction Research And Treatment, Inc | Opioid Treatment Program | CA | $897.4K | 3.2K | $277.23 |
| Man Alive, Inc. | Opioid Treatment Program | MD | $880.2K | 4.0K | $219.12 |
| St Josephs Hospital Yonkers | Opioid Treatment Program | NY | $867.1K | 3.1K | $276.77 |
| Addiction Research And Treatment, Inc | Opioid Treatment Program | CA | $854.3K | 3.1K | $272.92 |
| Riverside Treatment Services Llc | Opioid Treatment Program | MD | $841.6K | 3.9K | $214.32 |
| Bi-Valley Medical Clinic, Inc. | Opioid Treatment Program | CA | $839.7K | 3.5K | $236.68 |
| Therapeutic Health Services | Opioid Treatment Program | WA | $834.8K | 4.1K | $201.69 |
| Oklahoma Treatment Services Llc | Opioid Treatment Program | OK | $829.0K | 3.7K | $226.00 |
The data suggests significant pricing inconsistencies for CPT G2067. With a 3.8x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
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.