Study of voice box function
Medicare pricing data for 431 providers across 34 states
Prices vary significantly by location — from $31 in Alabama to $97 in New York. Where you get this procedure matters more than almost any other factor. 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
Study of voice box function (HCPCS code 92520) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $84.31, but hospitals typically charge $264.71 — 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 $84.31, your out-of-pocket cost would be approximately $16.86. 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 $66.06 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $97 | $371 | 48 | 1,286 | +15.5% |
| Massachusetts | $96 | $342 | 9 | 441 | +14.1% |
| New Jersey | $96 | $217 | 9 | 52 | +13.5% |
| California | $93 | $197 | 32 | 403 | +10.3% |
| Hawaii | $93 | $216 | 2 | 13 | +10.0% |
| Connecticut | $93 | $180 | 8 | 34 | +10.0% |
| Minnesota | $86 | $284 | 4 | 17 | +2.1% |
| Puerto Rico | $86 | $86 | 1 | 28 | +2.0% |
| Oregon | $85 | $154 | 6 | 82 | +1.3% |
| New Hampshire | $85 | $89 | 1 | 12 | +1.2% |
| Illinois | $84 | $267 | 5 | 30 | +0.2% |
| Colorado | $84 | $148 | 11 | 311 | +0.1% |
| Washington | $83 | $187 | 9 | 119 | -1.1% |
| Georgia | $83 | $292 | 11 | 134 | -1.2% |
| Maryland | $82 | $175 | 25 | 580 | -2.3% |
| Ohio | $82 | $156 | 14 | 86 | -2.7% |
| Wisconsin | $82 | $366 | 9 | 69 | -3.0% |
| Missouri | $81 | $189 | 24 | 249 | -3.5% |
| Florida | $81 | $234 | 76 | 1,122 | -3.9% |
| Nevada | $81 | $462 | 6 | 403 | -4.0% |
| Arizona | $79 | $367 | 6 | 133 | -5.8% |
| Utah | $79 | $209 | 11 | 71 | -5.9% |
| Texas | $79 | $248 | 29 | 906 | -6.5% |
| Nebraska | $78 | $177 | 4 | 113 | -7.0% |
| Kansas | $78 | $250 | 11 | 104 | -7.1% |
| Tennessee | $77 | $123 | 3 | 29 | -8.2% |
| West Virginia | $77 | $214 | 2 | 23 | -8.8% |
| Indiana | $76 | $140 | 7 | 103 | -9.7% |
| Pennsylvania | $75 | $244 | 10 | 287 | -10.9% |
| Iowa | $74 | $190 | 1 | 34 | -11.8% |
| Michigan | $68 | $251 | 5 | 135 | -19.0% |
| North Carolina | $61 | $168 | 10 | 87 | -27.3% |
| Kentucky | $55 | $348 | 4 | 114 | -34.5% |
| Alabama | $31 | $323 | 2 | 20 | -63.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber