92100

Multiple measurements of eye fluid pressure over an extended time period

Medicare pricing data for 1,315 providers across 42 states

🤖AI Overview

Prices vary significantly by location — from $28 in Utah to $98 in California. 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

Multiple measurements of eye fluid pressure over an extended time period (HCPCS code 92100) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $88.94, but hospitals typically charge $129.53 — a 1.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.79

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $88.94, your out-of-pocket cost would be approximately $17.79. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$88.94
Average Hospital Charge
$129.53
Markup Ratio
1.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$129.53
Medicare Allowed$88.94
Medicare Payment$66.80

Hospitals charge 1.5x more than what Medicare allows for this procedure. Medicare actually pays $66.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$98$1331668,611+10.6%
New York$97$130951,795+9.0%
Washington$95$15031237+7.1%
District of Columbia$94$114273+5.5%
New Jersey$94$12248875+5.3%
Connecticut$92$14326375+3.9%
Hawaii$92$1919116+3.5%
Massachusetts$92$19138541+3.0%
Maryland$89$11629418+0.3%
New Hampshire$87$17010246-2.1%
Delaware$86$130318-3.2%
Minnesota$86$123945-3.6%
Virginia$85$12628289-4.8%
Illinois$84$13934275-5.5%
Oregon$84$1141744-6.0%
Colorado$83$1071860-6.6%
Montana$83$97933-6.6%
Puerto Rico$83$8529192-7.2%
South Carolina$82$1361140-8.0%
Florida$82$1401092,026-8.0%
Michigan$81$12131208-8.5%
Pennsylvania$81$10842859-8.7%
Texas$79$1111483,654-10.7%
Tennessee$79$10028149-10.8%
Louisiana$79$122869-11.3%
North Carolina$78$11945713-12.1%
Idaho$78$124627-12.6%
Georgia$78$205813-12.9%
Kansas$77$1361235-13.2%
Oklahoma$77$13214118-13.4%
Alabama$74$9416105-16.4%
Arizona$74$23722285-17.0%
Kentucky$74$18613112-17.2%
Missouri$65$993372-27.1%
Wisconsin$65$130913-27.2%
Ohio$63$11836149-29.7%
Indiana$61$701565-30.9%
Mississippi$61$7217127-31.8%
Arkansas$61$67458-32.0%
West Virginia$60$71665-32.8%
New Mexico$53$60629-40.3%
Utah$28$57849-68.4%

⚠️ 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

💊 Need post-procedure medications? Check costs on OpenPrescriber