92066

Eye training exercise under supervision of health care professional

Medicare pricing data for 104 providers across 14 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 under supervision of health care professional (HCPCS code 92066) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $25.80, but hospitals typically charge $78.29 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.16

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $25.80, your out-of-pocket cost would be approximately $5.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$25.80
Average Hospital Charge
$78.29
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$78.29
Medicare Allowed$25.80
Medicare Payment$20.03

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $20.03 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$28$6391,171+7.7%
California$27$1297243+6.0%
Massachusetts$27$613174+5.3%
New Hampshire$27$60137+5.3%
Colorado$27$68688+4.1%
Washington$27$8081,197+3.6%
Oregon$26$1504512+1.3%
Illinois$25$26183-3.7%
Arizona$24$6541,360-5.3%
Ohio$23$523190-9.0%
Missouri$23$724120-9.1%
North Carolina$23$928156-9.2%
South Carolina$23$382191-9.7%
Tennessee$23$823169-11.4%

⚠️ 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

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