90901

Biofeedback training

Medicare pricing data for 419 providers across 24 states

🤖AI Overview

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

Biofeedback training (HCPCS code 90901) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.84, but hospitals typically charge $81.68 — a 2.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.17

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $40.84, your out-of-pocket cost would be approximately $8.17. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$40.84
Average Hospital Charge
$81.68
Markup Ratio
2.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$81.68
Medicare Allowed$40.84
Medicare Payment$32.14

Hospitals charge 2.0x more than what Medicare allows for this procedure. Medicare actually pays $32.14 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$47$71456,935+15.8%
California$42$9215542,427+2.5%
Montana$41$654282-0.4%
Georgia$41$733134-0.7%
Maine$40$7515290-1.7%
Arizona$40$45166,515-2.7%
Florida$39$6121765-4.1%
North Carolina$39$83319-5.3%
New Jersey$39$7413313-5.4%
Nebraska$38$1452398-6.6%
Colorado$38$688185-6.7%
Pennsylvania$38$5181,945-7.2%
Texas$38$5911137-7.5%
Tennessee$38$496119-7.9%
Utah$38$4821,347-8.2%
Missouri$37$81103,659-8.2%
Virginia$37$6055,434-8.3%
Washington$37$1007257-8.4%
Nevada$37$76163,527-8.8%
West Virginia$37$902140-9.3%
Illinois$37$126111,413-9.5%
Indiana$35$855847-14.9%
Ohio$34$12331,275-16.2%
Michigan$33$1314162-19.2%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber