92136

Measurement of corneal curvature and depth of eye

Medicare pricing data for 13,274 providers across 52 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 1.7 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

Measurement of corneal curvature and depth of eye (HCPCS code 92136) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $35.82, but hospitals typically charge $154.55 — a 4.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.16

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $35.82, your out-of-pocket cost would be approximately $7.16. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$35.82
Average Hospital Charge
$154.55
Markup Ratio
4.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$154.55
Medicare Allowed$35.82
Medicare Payment$26.38

Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $26.38 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$45$166423,361+24.2%
Maryland$44$18629738,557+22.6%
Delaware$41$189285,556+15.4%
Puerto Rico$41$6768807+15.2%
New Hampshire$41$183629,315+14.2%
Connecticut$40$21515813,160+12.8%
California$40$1641,473148,584+12.6%
Colorado$40$14220324,468+11.6%
New Jersey$40$18439445,269+11.3%
Virginia$40$14231550,324+11.0%
New York$39$23287481,293+9.6%
Massachusetts$39$22040945,370+9.3%
Alaska$39$210254,490+8.3%
South Dakota$39$1184810,159+8.3%
Pennsylvania$38$16567969,294+7.1%
Illinois$38$17448263,591+5.4%
New Mexico$37$119548,974+4.4%
Vermont$37$197263,670+2.6%
Michigan$37$14946440,465+2.2%
Florida$36$132880121,714-0.2%
Montana$36$1043711,194-0.4%
Kentucky$36$13517326,049-0.4%
Maine$35$145465,478-1.2%
North Dakota$35$164348,312-1.2%
Missouri$35$15127336,287-1.2%
Utah$35$12416315,051-1.6%
Kansas$35$15110521,078-1.7%
Oregon$35$14420120,688-2.4%
Mississippi$35$1459619,835-3.4%
North Carolina$34$14034858,581-3.7%
Hawaii$34$133747,763-4.0%
Georgia$34$16635847,920-4.3%
Nebraska$34$1558718,140-4.4%
Ohio$34$14647957,314-5.0%
Alabama$34$13917425,310-6.1%
Texas$34$154918136,410-6.4%
Louisiana$34$14618723,103-6.4%
South Carolina$33$13220536,394-6.6%
Indiana$33$16624045,942-7.4%
Rhode Island$33$174426,549-8.3%
Wyoming$33$13382,250-8.9%
Washington$33$12334752,469-9.0%
Minnesota$33$16026122,763-9.0%
Nevada$32$1468214,945-9.3%
Wisconsin$32$20324733,147-9.8%
Oklahoma$32$11017730,054-9.8%
West Virginia$32$1295710,867-10.3%
Arizona$32$10429443,677-10.3%
Arkansas$32$1259320,681-11.9%
Idaho$31$996410,607-12.3%
Tennessee$29$12329749,573-19.5%
Iowa$29$10711329,258-20.3%

⚠️ 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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