92025

Ct scan of cornea

Medicare pricing data for 11,843 providers across 52 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

Ct scan of cornea (HCPCS code 92025) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.70, but hospitals typically charge $98.95 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $34.70, your out-of-pocket cost would be approximately $6.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$34.70
Average Hospital Charge
$98.95
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$98.95
Medicare Allowed$34.70
Medicare Payment$25.56

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $25.56 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$42$15451778+21.2%
New York$39$12183838,137+11.6%
District of Columbia$39$8532834+11.4%
New Jersey$38$963618,338+9.2%
California$38$961,28649,349+8.8%
Maryland$38$1262456,877+8.4%
Connecticut$37$1461462,819+6.2%
Hawaii$37$118842,382+5.4%
Rhode Island$36$96391,247+5.0%
Wyoming$36$10618444+2.7%
Virginia$35$982924,938+0.4%
Colorado$35$752703,591-0.3%
Nevada$35$146972,120-0.3%
Delaware$34$97392,008-0.8%
Vermont$34$1031869-0.8%
Washington$34$903464,692-1.5%
Florida$34$8569616,344-1.7%
Montana$34$5858849-2.6%
Texas$34$11690726,930-3.3%
Illinois$33$934445,958-3.6%
Georgia$33$973184,477-3.7%
Massachusetts$33$1093507,502-3.7%
Arizona$33$772676,146-3.8%
Pennsylvania$33$7955713,111-4.4%
North Dakota$33$8545354-4.6%
New Hampshire$33$7756428-4.8%
Minnesota$33$1072713,278-6.1%
Missouri$33$892255,650-6.3%
Indiana$32$732184,813-6.5%
Utah$32$711451,482-6.5%
Oklahoma$32$831462,423-7.1%
North Carolina$32$972965,584-7.6%
Idaho$32$6459782-7.8%
Oregon$32$811824,940-8.5%
Kansas$32$1421052,867-8.5%
Mississippi$32$8262831-8.6%
Kentucky$32$741131,452-9.0%
South Carolina$31$951463,885-9.5%
Alabama$31$951565,399-11.1%
South Dakota$31$6157939-11.6%
Michigan$30$813476,209-12.4%
New Mexico$30$6659982-12.8%
Maine$30$7532409-12.9%
Tennessee$30$822323,351-13.4%
Ohio$30$933383,037-13.5%
Nebraska$30$77871,363-14.2%
Arkansas$29$58791,148-15.8%
Wisconsin$29$1112543,382-16.5%
Iowa$29$661292,379-17.4%
Louisiana$27$741584,441-22.4%
Puerto Rico$26$3419297-24.7%
West Virginia$26$6338609-26.0%

⚠️ 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