Eye training exercise performed by health care professional
Medicare pricing data for 435 providers across 34 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
Eye training exercise performed by health care professional (HCPCS code 92065) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $42.09, but hospitals typically charge $90.89 — a 2.2x 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 $42.09, your out-of-pocket cost would be approximately $8.42. 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 2.2x 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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $47 | $208 | 1 | 16 | +12.2% |
| New York | $45 | $127 | 59 | 3,530 | +8.1% |
| New Jersey | $45 | $69 | 11 | 1,256 | +6.8% |
| California | $44 | $107 | 60 | 3,797 | +4.8% |
| Maryland | $44 | $98 | 14 | 420 | +3.8% |
| Connecticut | $43 | $78 | 5 | 496 | +1.4% |
| Virginia | $42 | $93 | 6 | 156 | +0.4% |
| Massachusetts | $42 | $61 | 9 | 1,432 | +0.2% |
| New Hampshire | $42 | $60 | 1 | 454 | 0.0% |
| Washington | $41 | $93 | 14 | 331 | -1.4% |
| Illinois | $41 | $66 | 16 | 628 | -1.8% |
| Delaware | $41 | $74 | 2 | 310 | -2.7% |
| Nevada | $41 | $131 | 3 | 12 | -2.8% |
| Montana | $41 | $147 | 4 | 60 | -3.0% |
| Maine | $41 | $80 | 1 | 124 | -3.5% |
| Wyoming | $41 | $64 | 3 | 721 | -3.6% |
| Florida | $40 | $93 | 12 | 726 | -3.9% |
| Colorado | $40 | $85 | 10 | 148 | -4.2% |
| Michigan | $40 | $111 | 14 | 592 | -4.2% |
| Pennsylvania | $40 | $79 | 35 | 1,534 | -4.2% |
| Minnesota | $40 | $104 | 8 | 354 | -4.6% |
| Oregon | $40 | $122 | 15 | 270 | -5.0% |
| Arizona | $40 | $75 | 12 | 2,348 | -5.1% |
| Texas | $40 | $72 | 18 | 617 | -5.3% |
| South Dakota | $40 | $122 | 4 | 129 | -5.7% |
| Ohio | $39 | $77 | 13 | 314 | -6.5% |
| Kansas | $39 | $78 | 6 | 447 | -6.8% |
| North Carolina | $39 | $90 | 9 | 303 | -7.1% |
| South Carolina | $39 | $71 | 4 | 245 | -7.2% |
| Iowa | $39 | $113 | 6 | 116 | -7.5% |
| Tennessee | $39 | $70 | 15 | 270 | -7.9% |
| Wisconsin | $39 | $99 | 6 | 241 | -8.3% |
| Kentucky | $38 | $75 | 6 | 480 | -8.8% |
| Missouri | $38 | $69 | 7 | 64 | -9.7% |
⚠️ 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