Exam of ear using a microscope
Medicare pricing data for 6,318 providers across 52 states
Prices vary significantly by location — from $9 in Vermont to $34 in New York. 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 ear using a microscope (HCPCS code 92504) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $27.10, but hospitals typically charge $83.16 — a 3.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $27.10, your out-of-pocket cost would be approximately $5.42. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $19.97 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $34 | $97 | 349 | 17,654 | +24.1% |
| New Jersey | $33 | $92 | 121 | 10,014 | +22.4% |
| Connecticut | $31 | $78 | 56 | 1,167 | +13.3% |
| California | $31 | $104 | 640 | 40,321 | +12.6% |
| Alaska | $30 | $141 | 22 | 477 | +11.5% |
| Rhode Island | $30 | $94 | 9 | 504 | +10.7% |
| Maryland | $30 | $81 | 118 | 7,035 | +10.4% |
| Hawaii | $30 | $73 | 15 | 330 | +9.2% |
| Puerto Rico | $29 | $48 | 6 | 35 | +7.5% |
| District of Columbia | $29 | $78 | 22 | 2,253 | +7.5% |
| Colorado | $29 | $62 | 134 | 7,047 | +6.2% |
| Nevada | $28 | $63 | 30 | 558 | +4.8% |
| Wyoming | $28 | $117 | 13 | 284 | +4.5% |
| Washington | $28 | $75 | 180 | 5,213 | +3.7% |
| Virginia | $28 | $71 | 169 | 8,510 | +2.8% |
| Pennsylvania | $27 | $73 | 224 | 6,831 | -0.3% |
| Florida | $27 | $69 | 416 | 22,441 | -0.4% |
| Texas | $27 | $80 | 484 | 16,909 | -0.8% |
| Delaware | $26 | $70 | 8 | 270 | -2.9% |
| North Carolina | $26 | $70 | 217 | 5,094 | -4.3% |
| Arkansas | $26 | $63 | 35 | 943 | -4.8% |
| Alabama | $26 | $66 | 70 | 2,098 | -5.8% |
| Oklahoma | $25 | $68 | 71 | 1,933 | -6.1% |
| Indiana | $25 | $68 | 84 | 2,339 | -6.1% |
| Arizona | $25 | $53 | 135 | 5,603 | -6.9% |
| South Carolina | $25 | $80 | 146 | 6,137 | -7.5% |
| Minnesota | $25 | $95 | 154 | 3,426 | -7.8% |
| Georgia | $25 | $102 | 180 | 5,206 | -7.9% |
| Mississippi | $25 | $92 | 45 | 1,247 | -8.1% |
| Massachusetts | $25 | $85 | 170 | 4,978 | -9.4% |
| Kentucky | $25 | $57 | 116 | 3,145 | -9.5% |
| Kansas | $24 | $71 | 70 | 4,369 | -10.3% |
| Tennessee | $24 | $84 | 132 | 5,268 | -10.5% |
| Missouri | $24 | $78 | 166 | 5,179 | -11.1% |
| Nebraska | $24 | $89 | 82 | 2,439 | -11.5% |
| Oregon | $24 | $89 | 95 | 3,905 | -11.9% |
| Illinois | $23 | $83 | 243 | 7,319 | -13.3% |
| Michigan | $23 | $56 | 161 | 3,298 | -14.9% |
| South Dakota | $23 | $93 | 41 | 1,208 | -16.9% |
| Louisiana | $22 | $85 | 84 | 1,532 | -17.0% |
| Utah | $22 | $85 | 80 | 1,590 | -17.0% |
| Idaho | $22 | $67 | 29 | 717 | -18.4% |
| West Virginia | $22 | $69 | 42 | 1,554 | -19.4% |
| Iowa | $22 | $91 | 107 | 3,906 | -20.3% |
| Montana | $21 | $60 | 37 | 613 | -21.1% |
| Wisconsin | $20 | $147 | 148 | 3,519 | -25.8% |
| Ohio | $20 | $67 | 194 | 5,450 | -27.9% |
| New Hampshire | $16 | $52 | 33 | 1,116 | -42.7% |
| New Mexico | $14 | $85 | 32 | 716 | -48.1% |
| Maine | $13 | $50 | 30 | 834 | -53.7% |
| North Dakota | $10 | $26 | 32 | 591 | -61.6% |
| Vermont | $9 | $32 | 17 | 641 | -66.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber