Pattern recording of retinal electrical responses to external stimuli with interpretation and report
Medicare pricing data for 333 providers across 29 states
Prices vary significantly by location — from $43 in Indiana to $89 in Virginia. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Pattern recording of retinal electrical responses to external stimuli with interpretation and report (HCPCS code 0509T) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $71.83, but hospitals typically charge $189.46 — a 2.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $71.83, your out-of-pocket cost would be approximately $14.37. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $53.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Virginia | $89 | $199 | 8 | 345 | +23.5% |
| New Jersey | $85 | $185 | 15 | 1,128 | +18.3% |
| New York | $85 | $292 | 12 | 193 | +17.8% |
| Massachusetts | $80 | $158 | 4 | 30 | +11.6% |
| Oregon | $79 | $265 | 6 | 97 | +10.0% |
| California | $77 | $140 | 26 | 1,707 | +6.8% |
| Connecticut | $77 | $221 | 5 | 44 | +6.6% |
| Arizona | $75 | $182 | 7 | 143 | +4.2% |
| Missouri | $73 | $319 | 8 | 257 | +1.8% |
| Maine | $72 | $234 | 4 | 92 | +0.8% |
| Florida | $72 | $146 | 47 | 2,171 | +0.2% |
| Washington | $70 | $187 | 5 | 150 | -1.9% |
| Delaware | $69 | $186 | 3 | 29 | -3.6% |
| Texas | $68 | $325 | 33 | 1,557 | -5.5% |
| Oklahoma | $68 | $178 | 15 | 499 | -5.7% |
| Illinois | $67 | $184 | 15 | 735 | -6.1% |
| Alabama | $67 | $250 | 4 | 12 | -7.3% |
| Pennsylvania | $66 | $175 | 36 | 692 | -7.8% |
| Mississippi | $66 | $175 | 3 | 14 | -8.7% |
| Michigan | $65 | $163 | 6 | 289 | -9.4% |
| Iowa | $65 | $193 | 5 | 13 | -9.9% |
| Puerto Rico | $65 | $76 | 1 | 101 | -10.1% |
| Minnesota | $64 | $197 | 7 | 59 | -10.2% |
| Louisiana | $64 | $167 | 9 | 114 | -10.6% |
| North Carolina | $63 | $74 | 2 | 245 | -11.7% |
| Arkansas | $60 | $152 | 3 | 186 | -16.1% |
| New Mexico | $59 | $148 | 1 | 44 | -17.3% |
| Ohio | $59 | $174 | 15 | 472 | -17.3% |
| Indiana | $43 | $120 | 10 | 116 | -40.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber