What do doctors typically charge for Set-up and Patient Education for Remote Monitoring of Therapy?

The nationwide median physician charge for Set-up and Patient Education for Remote Monitoring of Therapy (CPT 98975) is $45.90. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 98975?

The standard insurance baseline reimbursement rate is $19.01. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Set-up and Patient Education for Remote Monitoring of Therapy

CPT 98975Medical Service

Set-up and Patient Education for Remote Monitoring of Therapy

Set-up and patient education for remote monitoring of therapy. Clinical pricing breakdown and utilization metrics across 608 practicing doctors nationwide.

$45.90

Peer Median Charge

Gross billed rate

$19.01

Standard Baseline

Customary allowable

2.4x

National Markup

Charge vs baseline

608

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $45.90. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $19.01 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 98975 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"