90912

Biofeedback training for bowel or bladder control, initial 15 minutes

Medicare pricing data for 922 providers across 37 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 for bowel or bladder control, initial 15 minutes (HCPCS code 90912) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $75.01, but hospitals typically charge $160.96 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.00

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $75.01, your out-of-pocket cost would be approximately $15.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$75.01
Average Hospital Charge
$160.96
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$160.96
Medicare Allowed$75.01
Medicare Payment$57.78

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $57.78 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$88$1203128+17.9%
New York$85$226731,083+13.8%
Oregon$84$182734+11.9%
Massachusetts$84$2017210+11.9%
Washington$81$2271357+8.4%
New Jersey$80$18630420+6.9%
Michigan$79$123787+5.8%
Colorado$79$1827108+5.6%
Illinois$79$15915193+4.9%
California$78$232872,031+4.1%
Arizona$78$112386,365+3.9%
Maryland$78$140291,804+3.8%
Virginia$76$18215267+1.6%
Florida$76$1811294,916+1.5%
Wisconsin$76$1776106+1.5%
Pennsylvania$76$130702,102+1.1%
Alabama$76$10016277+0.9%
Delaware$76$12514578+0.8%
Nebraska$75$14614220+0.5%
Minnesota$75$22747392+0.4%
Connecticut$75$252526-0.4%
South Carolina$74$164536-1.3%
Louisiana$74$128438-1.3%
West Virginia$74$2203325-1.9%
Kentucky$74$1641084-1.9%
Ohio$73$14924207-2.3%
Oklahoma$73$1236405-2.7%
Tennessee$73$15718122-2.8%
Arkansas$72$1876107-3.4%
Iowa$72$2217284-3.5%
North Carolina$71$14560677-4.9%
Texas$69$222451,606-7.5%
Kansas$69$234852-7.8%
Indiana$67$189575-11.1%
Nevada$61$2018136-18.3%
Georgia$60$11020607-20.3%
Missouri$48$165201,003-35.6%

⚠️ 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