92083

Exam of visual field with extended testing

Medicare pricing data for 41,064 providers across 52 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 2.7 million services annually. Even small pricing inefficiencies here affect millions of patients. 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 extended testing (HCPCS code 92083) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $61.13, but hospitals typically charge $146.64 — a 2.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.23

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $61.13, your out-of-pocket cost would be approximately $12.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$61.13
Average Hospital Charge
$146.64
Markup Ratio
2.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$146.64
Medicare Allowed$61.13
Medicare Payment$43.11

Hospitals charge 2.4x more than what Medicare allows for this procedure. Medicare actually pays $43.11 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$72$2731318,091+18.3%
District of Columbia$70$150838,779+14.3%
New Jersey$69$1441,13995,982+13.3%
New York$69$1762,466225,979+12.7%
California$68$1633,526286,866+11.6%
Maryland$68$15569688,348+11.3%
Connecticut$67$18758627,964+9.9%
Hawaii$66$15525017,040+8.0%
Rhode Island$64$1452118,572+4.9%
Delaware$63$13314013,406+2.3%
Washington$62$1471,08558,963+2.0%
Nevada$62$14727020,137+1.5%
Virginia$62$1321,05193,346+1.2%
Massachusetts$61$2011,11280,646+0.2%
Wyoming$61$127896,053-0.5%
Puerto Rico$61$731632,337-0.7%
Illinois$61$1471,596108,736-1.0%
Florida$60$1322,291221,450-1.9%
Pennsylvania$60$1251,986130,951-2.0%
Texas$60$1512,893161,846-2.3%
South Dakota$59$1252018,899-2.7%
New Hampshire$59$13724218,140-2.8%
Oregon$59$16066228,651-3.0%
Minnesota$59$18887135,800-3.6%
Georgia$59$14896260,765-4.2%
Montana$58$11318011,819-4.6%
Arizona$58$12476660,860-4.6%
Maine$58$12424610,260-5.7%
South Carolina$57$13358242,245-6.1%
Indiana$57$11298850,941-6.4%
Colorado$57$13478426,999-6.4%
Missouri$57$12588748,946-6.7%
North Carolina$57$1401,22774,298-6.7%
Michigan$57$1301,33572,582-7.3%
Kansas$57$12654529,825-7.6%
Idaho$56$11126410,932-8.3%
Vermont$56$1251156,658-8.5%
Tennessee$56$13094449,813-8.6%
Nebraska$56$14232721,217-8.8%
Iowa$56$13854732,424-8.8%
Alabama$56$11859728,824-8.9%
Kentucky$56$11661025,732-8.9%
Oklahoma$55$11364230,553-9.5%
Ohio$54$1381,65685,879-11.1%
Utah$54$13735614,073-11.2%
New Mexico$54$13821412,199-11.3%
Wisconsin$53$22583337,258-12.6%
Mississippi$53$12836325,340-13.2%
Arkansas$53$11540327,915-13.7%
North Dakota$53$1341807,142-14.0%
West Virginia$52$10822912,546-14.2%
Louisiana$50$13751129,411-18.5%

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

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