92517

Vemp testing of lower branch of inner ear nerve with interpretation and report

Medicare pricing data for 685 providers across 34 states

🤖AI Overview

This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Vemp testing of lower branch of inner ear nerve with interpretation and report (HCPCS code 92517) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $76.61, but hospitals typically charge $204.48 — a 2.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.32

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $76.61, your out-of-pocket cost would be approximately $15.32. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$76.61
Average Hospital Charge
$204.48
Markup Ratio
2.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$204.48
Medicare Allowed$76.61
Medicare Payment$60.02

Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $60.02 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$87$2219160+14.1%
New York$87$30728139+13.1%
California$86$27835558+12.9%
Connecticut$84$23011244+9.4%
Maryland$82$13920152+6.8%
Washington$80$19716246+4.9%
Colorado$80$21122155+3.9%
Hawaii$79$175118+3.6%
Pennsylvania$79$18725241+3.2%
New Hampshire$79$183174+2.8%
Minnesota$78$3467189+2.2%
Nevada$77$193521+0.8%
Montana$77$157521+0.6%
Florida$76$1792012,007-0.8%
Massachusetts$76$362741-1.1%
Texas$75$20845561-1.6%
Arizona$75$18429338-2.0%
Virginia$75$1851581-2.5%
District of Columbia$74$146412-3.3%
Georgia$74$2201459-3.7%
Utah$74$20118183-3.9%
Missouri$74$2207312-3.9%
Illinois$73$1671871-4.8%
North Carolina$73$2161482-5.1%
Michigan$72$141527-5.5%
Kansas$72$21510279-5.6%
Indiana$72$17210427-5.9%
Louisiana$72$205886-6.5%
Oklahoma$71$23710130-6.8%
West Virginia$71$143491-6.9%
Alabama$71$13317117-7.6%
Tennessee$71$22120103-8.0%
Arkansas$69$140443-10.5%
Ohio$45$1961260-41.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber