92507

Treatment of speech, language, voice, communication, and/or hearing processing disorder

Medicare pricing data for 5,586 providers across 52 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

Treatment of speech, language, voice, communication, and/or hearing processing disorder (HCPCS code 92507) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $73.62, but hospitals typically charge $142.70 — a 1.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.72

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $73.62, your out-of-pocket cost would be approximately $14.72. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$73.62
Average Hospital Charge
$142.70
Markup Ratio
1.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$142.70
Medicare Allowed$73.62
Medicare Payment$57.69

Hospitals charge 1.9x more than what Medicare allows for this procedure. Medicare actually pays $57.69 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$86$176151,528+16.5%
New York$80$148482120,121+8.6%
District of Columbia$79$13012809+7.4%
California$79$16832528,249+7.1%
Maryland$77$13512616,398+4.3%
Rhode Island$77$129141,154+4.2%
Connecticut$76$152393,912+3.6%
New Jersey$76$14724133,864+3.5%
Washington$76$156849,117+3.2%
Massachusetts$75$156677,068+1.2%
Nevada$74$242516,292+1.2%
North Dakota$74$148573,137+0.4%
Montana$74$138403,367+0.2%
Vermont$74$1228430-0.1%
Virginia$74$12612522,179-0.1%
Wyoming$73$109212,957-0.2%
Texas$73$13731936,388-0.4%
Oregon$73$149352,124-0.4%
Michigan$73$17314712,192-0.9%
Puerto Rico$73$908330-1.1%
Utah$73$136601,648-1.1%
New Hampshire$73$117121,388-1.4%
Minnesota$72$2001349,212-1.7%
Illinois$72$14623830,068-1.8%
Florida$72$13743566,215-2.1%
Louisiana$72$128655,802-2.1%
Arizona$72$13610311,353-2.2%
Hawaii$72$139171,153-2.8%
Colorado$71$12114219,125-3.4%
Missouri$71$15812617,941-3.5%
Georgia$71$14217618,047-3.7%
Delaware$71$124203,778-3.7%
North Carolina$71$13118120,290-3.8%
New Mexico$71$119291,431-3.8%
Iowa$71$143585,293-4.0%
Kansas$71$1379611,564-4.1%
Alabama$71$124636,069-4.1%
Oklahoma$71$129605,528-4.1%
Pennsylvania$71$14323321,301-4.1%
Nebraska$71$1478511,583-4.2%
Indiana$70$14412812,803-4.4%
Kentucky$70$13710715,474-4.8%
Ohio$70$13019014,660-5.4%
Tennessee$69$12712716,943-6.0%
West Virginia$69$117344,105-6.1%
Wisconsin$69$14610711,167-6.3%
Mississippi$69$104507,855-6.5%
Arkansas$69$1386510,287-6.7%
South Carolina$69$12911318,854-6.8%
Idaho$68$120502,358-7.5%
Maine$68$136252,088-8.1%
South Dakota$66$14816563-10.1%

⚠️ 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