Exam of the internal drainage system of eye
Medicare pricing data for 20,238 providers across 52 states
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 of the internal drainage system of eye (HCPCS code 92020) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.41, but hospitals typically charge $68.91 — a 2.4x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $28.41, your out-of-pocket cost would be approximately $5.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $20.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $34 | $133 | 81 | 1,160 | +21.1% |
| District of Columbia | $31 | $90 | 49 | 4,034 | +9.2% |
| New York | $31 | $80 | 1,629 | 104,240 | +9.0% |
| California | $31 | $74 | 1,837 | 100,786 | +8.1% |
| New Jersey | $31 | $74 | 755 | 49,652 | +7.4% |
| Maryland | $30 | $63 | 426 | 30,057 | +4.5% |
| Connecticut | $30 | $91 | 299 | 11,241 | +3.9% |
| Hawaii | $29 | $83 | 132 | 5,061 | +2.1% |
| Rhode Island | $28 | $67 | 108 | 1,869 | -0.3% |
| Massachusetts | $28 | $81 | 614 | 12,891 | -0.4% |
| Washington | $28 | $63 | 487 | 11,324 | -0.8% |
| Virginia | $28 | $61 | 555 | 21,428 | -2.3% |
| Delaware | $28 | $68 | 66 | 2,910 | -2.7% |
| Pennsylvania | $28 | $60 | 1,032 | 39,069 | -2.9% |
| New Hampshire | $28 | $66 | 145 | 3,425 | -3.1% |
| Illinois | $27 | $73 | 818 | 28,773 | -3.4% |
| Nevada | $27 | $66 | 118 | 5,720 | -3.8% |
| Oregon | $27 | $69 | 272 | 4,340 | -4.1% |
| Florida | $27 | $59 | 1,321 | 59,971 | -4.1% |
| Puerto Rico | $27 | $30 | 86 | 1,078 | -4.3% |
| Wyoming | $27 | $89 | 31 | 324 | -4.6% |
| Colorado | $27 | $68 | 270 | 4,148 | -4.8% |
| Texas | $27 | $69 | 1,261 | 41,168 | -4.9% |
| Minnesota | $27 | $83 | 378 | 4,799 | -5.2% |
| Michigan | $27 | $60 | 562 | 16,515 | -5.3% |
| South Dakota | $27 | $56 | 77 | 1,356 | -5.5% |
| Arizona | $27 | $56 | 385 | 13,207 | -5.6% |
| Montana | $27 | $54 | 76 | 1,454 | -6.2% |
| Georgia | $26 | $70 | 509 | 12,441 | -6.8% |
| North Carolina | $26 | $58 | 581 | 15,426 | -7.8% |
| Missouri | $26 | $61 | 434 | 9,158 | -7.8% |
| Maine | $26 | $60 | 113 | 2,122 | -8.2% |
| Indiana | $26 | $54 | 388 | 7,715 | -8.4% |
| Kansas | $26 | $58 | 204 | 5,878 | -8.8% |
| South Carolina | $26 | $59 | 302 | 7,975 | -8.8% |
| Utah | $26 | $61 | 123 | 1,438 | -9.3% |
| New Mexico | $26 | $53 | 128 | 1,911 | -9.4% |
| Nebraska | $26 | $68 | 134 | 2,391 | -9.5% |
| Ohio | $26 | $68 | 725 | 20,228 | -10.0% |
| Iowa | $26 | $67 | 202 | 3,868 | -10.1% |
| Kentucky | $26 | $57 | 236 | 4,638 | -10.1% |
| Oklahoma | $25 | $59 | 259 | 5,688 | -10.5% |
| Tennessee | $25 | $56 | 438 | 7,660 | -10.6% |
| Alabama | $25 | $52 | 250 | 5,747 | -10.9% |
| Idaho | $25 | $67 | 90 | 786 | -11.2% |
| Wisconsin | $25 | $95 | 363 | 5,032 | -11.3% |
| Vermont | $25 | $63 | 61 | 1,513 | -11.4% |
| Louisiana | $25 | $70 | 252 | 6,030 | -12.0% |
| Mississippi | $25 | $63 | 173 | 4,362 | -12.4% |
| Arkansas | $25 | $54 | 205 | 5,447 | -12.5% |
| North Dakota | $25 | $56 | 58 | 867 | -13.3% |
| West Virginia | $25 | $60 | 110 | 2,691 | -13.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber