92541

Test for abnormal eye movement with recording

Medicare pricing data for 584 providers across 38 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $135.10 but Medicare allows only $24.74. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. 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 for abnormal eye movement with recording (HCPCS code 92541) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $24.74, but hospitals typically charge $135.10 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.95

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $24.74, your out-of-pocket cost would be approximately $4.95. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$24.74
Average Hospital Charge
$135.10
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$135.10
Medicare Allowed$24.74
Medicare Payment$19.00

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $19.00 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$28$7011200+12.4%
California$27$195562,849+9.8%
Maryland$27$611976+9.4%
Connecticut$27$189856+8.9%
New York$26$16129598+5.9%
Washington$26$921254+5.2%
Rhode Island$26$110188+4.0%
Colorado$25$59872+3.0%
Michigan$25$518368+1.7%
Nevada$25$40665+1.4%
Montana$25$80393+1.3%
Minnesota$25$27710699+0.9%
Florida$25$93821,241+0.0%
Illinois$25$2531030-0.2%
Massachusetts$24$139819-1.5%
Virginia$24$6610151-1.9%
North Carolina$24$1731017-2.1%
Missouri$24$93151,064-2.5%
New Mexico$24$52444-2.5%
Utah$24$9220124-2.6%
Georgia$24$1492177-2.6%
Oklahoma$24$951041-4.2%
Arizona$24$2061257-4.2%
Kansas$24$748130-4.4%
Louisiana$24$9121224-4.4%
West Virginia$24$42313-4.4%
South Carolina$24$2681151-4.6%
Alabama$24$6818203-4.7%
Kentucky$23$791137-5.1%
Nebraska$23$166626-6.3%
Indiana$23$5922505-6.7%
Tennessee$23$10915287-7.1%
Pennsylvania$23$134859-7.3%
Mississippi$23$175444-8.1%
Oregon$21$43577-13.4%
Ohio$21$13911174-16.0%
Wisconsin$21$113212-16.8%
Texas$17$6765601-32.9%

⚠️ 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