31575

Diagnostic exam of voice box using a flexible endoscope

Medicare pricing data for 16,376 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $64 in Vermont to $140 in New Jersey. 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

Diagnostic exam of voice box using a flexible endoscope (HCPCS code 31575) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $117.64, but hospitals typically charge $350.77 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.53

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $117.64, your out-of-pocket cost would be approximately $23.53. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$117.64
Average Hospital Charge
$350.77
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$350.77
Medicare Allowed$117.64
Medicare Payment$88.35

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $88.35 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$140$37547320,699+19.4%
Alaska$140$62151977+19.0%
New York$136$4461,16050,335+16.0%
Connecticut$131$4462326,663+11.1%
Rhode Island$131$28629903+11.0%
Maryland$130$32430513,460+10.9%
District of Columbia$130$306581,492+10.6%
California$129$3801,41847,762+9.9%
Delaware$123$293512,847+4.4%
Nevada$122$320672,354+3.5%
Colorado$122$3223228,258+3.3%
Puerto Rico$121$14352688+3.3%
Wyoming$121$45724769+2.9%
Florida$120$2871,10954,492+2.3%
Washington$120$3243719,798+1.6%
Massachusetts$118$43248720,806+0.3%
Virginia$117$29740815,249-0.7%
Arizona$116$2822369,568-1.4%
Texas$116$3541,08030,474-1.5%
Illinois$116$41862820,268-1.6%
Hawaii$115$248501,514-2.1%
Georgia$114$37455216,777-3.1%
Oregon$114$3692275,133-3.4%
Pennsylvania$113$31486430,610-4.0%
Utah$112$2781362,359-4.4%
North Carolina$111$32251215,960-5.8%
South Carolina$111$33431912,544-6.1%
Indiana$110$3323478,290-6.7%
Minnesota$109$4723446,649-7.8%
Michigan$108$28852514,041-8.1%
Oklahoma$108$2901594,585-8.3%
Kentucky$108$2532286,510-8.3%
Mississippi$108$3901205,194-8.4%
Alabama$107$2842547,709-8.9%
Missouri$107$3213388,941-9.3%
Arkansas$105$2641223,343-10.6%
Montana$105$266732,115-10.6%
Tennessee$104$34433811,517-11.6%
Louisiana$103$3322947,616-12.5%
Kansas$102$3221574,630-13.2%
Iowa$101$3721736,011-13.9%
Ohio$101$28962516,250-14.2%
Nebraska$99$3081693,646-15.8%
West Virginia$97$281892,458-17.6%
Idaho$97$276812,109-17.7%
Wisconsin$96$6573356,249-18.2%
New Hampshire$96$343813,143-18.6%
South Dakota$95$266661,796-19.6%
New Mexico$91$263651,575-22.4%
Maine$90$217731,750-23.3%
North Dakota$73$227471,092-37.9%
Vermont$64$16735782-45.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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