31579

Exam to assess movement of vocal cord flaps using an endoscope

Medicare pricing data for 2,030 providers across 50 states

🤖AI Overview

Prices vary significantly by location — from $108 in Vermont to $243 in Alaska. 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

Exam to assess movement of vocal cord flaps using an endoscope (HCPCS code 31579) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $188.94, but hospitals typically charge $718.97 — a 3.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$37.79

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $188.94, your out-of-pocket cost would be approximately $37.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$188.94
Average Hospital Charge
$718.97
Markup Ratio
3.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$718.97
Medicare Allowed$188.94
Medicare Payment$144.46

Hospitals charge 3.8x more than what Medicare allows for this procedure. Medicare actually pays $144.46 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$243$1,325227+28.4%
New York$228$1,07216511,771+20.6%
New Jersey$223$858492,568+18.1%
Connecticut$211$97115769+11.9%
District of Columbia$204$9619678+8.2%
Rhode Island$202$5854128+7.1%
Maryland$201$634614,503+6.3%
California$200$74723513,844+6.0%
New Hampshire$200$604121+5.9%
Nevada$198$5268986+4.6%
Minnesota$194$1,00137871+2.7%
Delaware$191$4189106+1.2%
Florida$191$5691635,598+1.0%
Hawaii$190$445671+0.4%
New Mexico$188$269474-0.5%
South Dakota$187$817640-0.8%
Georgia$187$689741,564-0.8%
Texas$187$6701297,598-1.0%
Illinois$186$945441,918-1.5%
West Virginia$185$591221-2.1%
Massachusetts$181$739793,081-4.1%
Tennessee$181$63124523-4.3%
Arizona$180$869391,025-4.6%
Kentucky$178$50112530-5.6%
Iowa$178$52924694-5.9%
North Carolina$177$550692,501-6.2%
Missouri$177$633571,513-6.4%
Puerto Rico$176$260417-6.7%
Mississippi$176$61412410-6.8%
Colorado$176$571341,751-7.1%
Kansas$175$623452,043-7.2%
Utah$174$49132680-8.1%
Oklahoma$172$40912194-9.0%
Pennsylvania$172$5071435,830-9.1%
Indiana$171$510391,724-9.4%
Virginia$170$50822982-10.1%
South Carolina$162$959361,643-14.1%
Washington$158$500311,606-16.6%
Wisconsin$154$1,99028444-18.3%
Alabama$152$66144777-19.4%
Montana$151$3298110-20.1%
Arkansas$149$46412519-20.9%
Ohio$149$613813,861-21.0%
Oregon$148$51015294-21.5%
Nebraska$143$6027203-24.4%
Michigan$142$399521,742-24.8%
Idaho$136$211659-27.8%
North Dakota$116$340311-38.5%
Louisiana$114$48217560-39.6%
Vermont$108$190343-42.7%

⚠️ 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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