90913

Biofeedback training for bowel or bladder control, each additional 15 minutes

Medicare pricing data for 561 providers across 28 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, each additional 15 minutes (HCPCS code 90913) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $30.69, but hospitals typically charge $84.95 — a 2.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $30.69, your out-of-pocket cost would be approximately $6.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$30.69
Average Hospital Charge
$84.95
Markup Ratio
2.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$84.95
Medicare Allowed$30.69
Medicare Payment$23.92

Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $23.92 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$36$13539670+15.7%
New Jersey$34$9813212+9.4%
California$33$123571,324+7.7%
Washington$32$83831+5.4%
Illinois$32$769152+4.9%
Florida$32$1031013,572+4.0%
Arizona$31$51256,585+2.1%
Texas$31$12918177+1.8%
Pennsylvania$31$11535972+1.0%
South Carolina$31$144228+0.9%
Louisiana$30$145419-0.7%
Alabama$30$3613402-0.7%
West Virginia$30$902200-0.8%
Ohio$30$6812170-1.0%
North Carolina$30$12143568-1.4%
Oklahoma$30$65379-1.6%
Delaware$30$8913517-1.7%
Tennessee$30$8816108-3.0%
Virginia$30$845132-3.6%
Minnesota$29$13835459-4.2%
Arkansas$29$726127-4.2%
Georgia$29$7913456-6.5%
Nevada$29$111598-6.6%
Iowa$29$924214-6.7%
Kansas$28$230622-10.2%
Maryland$27$81231,347-10.8%
Indiana$27$71454-11.0%
Missouri$20$10414755-33.4%

⚠️ 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