92284

Evaluation of eye adaptation to light and dark with interpretation and report

Medicare pricing data for 1,161 providers across 47 states

🤖AI Overview

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

Evaluation of eye adaptation to light and dark with interpretation and report (HCPCS code 92284) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $43.84, but hospitals typically charge $97.95 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.77

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $43.84, your out-of-pocket cost would be approximately $8.77. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$43.84
Average Hospital Charge
$97.95
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$97.95
Medicare Allowed$43.84
Medicare Payment$30.93

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $30.93 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$51$124643,986+17.2%
Alaska$51$13415729+15.5%
New Jersey$50$100391,885+14.1%
Connecticut$50$92515+13.7%
Maryland$50$9011333+13.5%
Hawaii$50$15413608+13.4%
New York$49$10533802+11.7%
Massachusetts$49$10512252+11.6%
Colorado$49$10217416+11.5%
Washington$48$9621463+9.8%
New Hampshire$48$87369+8.8%
South Dakota$47$93315+6.1%
Wyoming$46$935150+4.8%
Oregon$45$14025641+3.6%
North Dakota$45$946124+3.3%
Virginia$45$8546915+2.3%
Minnesota$45$9320167+1.5%
Montana$44$984352+1.0%
Arizona$44$8811417+0.9%
Illinois$44$81571,476+0.3%
Florida$44$87421,315-0.3%
Nevada$44$9811512-0.4%
Wisconsin$43$12710236-2.3%
Pennsylvania$43$102963,203-2.5%
Texas$43$1001081,993-3.0%
Nebraska$42$7811494-3.9%
Indiana$42$8236468-4.6%
Iowa$42$12520550-4.6%
Ohio$42$87441,138-4.7%
Utah$42$8214107-4.7%
Maine$42$62364-5.0%
Michigan$41$10725585-5.7%
New Mexico$41$86869-5.8%
Kansas$41$90261,148-6.3%
South Carolina$41$6810378-6.9%
Georgia$41$8529535-7.6%
Missouri$40$79461,436-8.6%
North Carolina$40$70401,652-8.8%
West Virginia$40$748159-8.9%
Alabama$39$7529885-10.3%
Louisiana$39$10012527-10.7%
Tennessee$39$88541,156-12.2%
Arkansas$37$10510371-14.8%
Mississippi$37$9913709-15.2%
Idaho$36$1079522-17.0%
Oklahoma$36$7427943-17.7%
Kentucky$35$679182-20.1%

⚠️ 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