92081

Exam of visual field with limited testing

Medicare pricing data for 4,416 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $16 in West Virginia to $39 in Alaska. Where you get this procedure matters more than almost any other factor. 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 visual field with limited testing (HCPCS code 92081) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $30.76, but hospitals typically charge $84.56 — a 2.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.15

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $30.76, your out-of-pocket cost would be approximately $6.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$30.76
Average Hospital Charge
$84.56
Markup Ratio
2.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$84.56
Medicare Allowed$30.76
Medicare Payment$21.89

Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $21.89 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$39$1502058+26.5%
New Jersey$36$78881,356+16.5%
Hawaii$36$9814178+15.7%
District of Columbia$36$96567+15.6%
California$35$884068,087+15.4%
Connecticut$35$95571,430+13.6%
Rhode Island$34$11411178+12.0%
New York$34$1082134,803+10.8%
Maryland$34$79622,266+10.3%
Washington$32$891252,468+5.2%
Virginia$32$81792,088+5.1%
Puerto Rico$32$37411+4.8%
Vermont$32$70751+4.7%
Illinois$32$1022032,173+4.6%
Pennsylvania$32$651922,471+3.6%
Nevada$32$87491,710+2.8%
Wyoming$32$7614103+2.7%
New Hampshire$31$12814287+0.0%
South Dakota$31$10028930-0.1%
Texas$31$773275,429-0.3%
Ohio$31$1051222,380-0.4%
Florida$30$792786,379-1.0%
Iowa$30$61731,272-2.1%
Minnesota$30$1061321,803-2.5%
Massachusetts$30$1121071,941-2.7%
Indiana$30$7867892-2.9%
Montana$30$6520326-2.9%
South Carolina$30$98571,232-3.2%
North Carolina$30$911302,383-3.5%
Missouri$30$80831,520-3.6%
Georgia$30$1061421,434-4.1%
Michigan$29$801402,003-4.4%
Nebraska$29$9359965-4.6%
Kentucky$29$7566885-5.6%
Kansas$29$67742,331-5.8%
Tennessee$29$78811,485-6.5%
Oregon$29$7863888-7.0%
Maine$29$12618126-7.2%
North Dakota$28$10724283-7.4%
Alabama$28$6582889-7.7%
Idaho$28$5719176-8.2%
Oklahoma$28$62753,577-8.5%
Arizona$28$651103,580-8.8%
Mississippi$28$8950548-9.9%
New Mexico$27$8119252-13.1%
Utah$26$6438639-14.0%
Wisconsin$26$118981,010-17.0%
Colorado$25$85891,455-17.3%
Louisiana$25$86581,092-19.3%
Delaware$22$8619197-29.7%
Arkansas$20$4840599-34.8%
West Virginia$16$3422369-46.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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