92537

Test to assess balance during warm and cool irrigation in both ears

Medicare pricing data for 3,521 providers across 51 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

Test to assess balance during warm and cool irrigation in both ears (HCPCS code 92537) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.22, but hospitals typically charge $145.50 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $39.22, your out-of-pocket cost would be approximately $7.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$39.22
Average Hospital Charge
$145.50
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$145.50
Medicare Allowed$39.22
Medicare Payment$30.45

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $30.45 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$44$1741963,664+11.2%
New Jersey$43$1111001,982+8.9%
Connecticut$43$17853300+8.4%
Hawaii$42$867171+7.2%
Maryland$42$1221001,874+7.1%
New York$41$16630912,314+5.3%
Colorado$41$12467654+4.5%
Rhode Island$40$97543+3.2%
Delaware$40$10012167+2.5%
Wyoming$40$122340+2.4%
Virginia$40$116931,087+2.0%
Nevada$40$282301,271+2.0%
Puerto Rico$40$8130139+1.9%
Florida$40$1033986,589+1.4%
Illinois$39$24299806+0.7%
Montana$39$18212176+0.3%
Washington$39$12056743-0.5%
Utah$38$11442483-2.1%
Texas$38$1442893,458-2.8%
North Carolina$38$1111081,164-3.0%
Michigan$38$1451321,273-3.2%
District of Columbia$38$88866-4.0%
Indiana$38$11063707-4.0%
Minnesota$38$27239472-4.1%
Pennsylvania$38$1721251,412-4.1%
South Carolina$37$21372730-4.4%
Georgia$37$1361321,181-4.8%
West Virginia$37$8013286-5.0%
Iowa$37$11123183-5.2%
Nebraska$37$13326210-5.5%
Kentucky$37$8447334-5.5%
Massachusetts$37$15548824-5.5%
Oklahoma$37$10835629-5.6%
Tennessee$37$12686702-6.0%
Mississippi$37$24433352-6.4%
Missouri$37$17140688-6.4%
Alabama$36$9279906-7.0%
Oregon$36$35921313-8.2%
Louisiana$36$119781,226-8.3%
Maine$36$66666-9.4%
Ohio$35$1501241,082-10.4%
Arkansas$35$8616171-11.5%
Kansas$35$30731143-11.6%
Idaho$35$8024236-11.8%
New Mexico$34$7427173-12.3%
New Hampshire$34$13718117-12.6%
Vermont$34$108630-14.6%
Arizona$32$84902,490-18.5%
Wisconsin$32$32840240-18.9%
North Dakota$31$92928-21.2%
South Dakota$30$597132-23.3%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber