92542

Test for abnormal eye movement using 3 positions with recording

Medicare pricing data for 1,097 providers across 41 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 for abnormal eye movement using 3 positions with recording (HCPCS code 92542) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $27.90, but hospitals typically charge $117.30 — a 4.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.58

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $27.90, your out-of-pocket cost would be approximately $5.58. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$27.90
Average Hospital Charge
$117.30
Markup Ratio
4.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$117.30
Medicare Allowed$27.90
Medicare Payment$21.09

Hospitals charge 4.2x more than what Medicare allows for this procedure. Medicare actually pays $21.09 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$32$274599+14.2%
New Jersey$32$17212198+13.2%
New York$32$20751607+13.1%
California$31$176662,818+11.8%
Connecticut$31$151424+10.2%
Maryland$30$9734216+8.0%
New Hampshire$30$69415+6.5%
Washington$29$941896+4.7%
Florida$29$91931,630+2.9%
Minnesota$29$20916372+2.5%
Nevada$29$9812316+2.2%
Colorado$28$6317108+2.1%
Arizona$28$13217104+1.1%
Virginia$28$7227295+0.7%
South Dakota$28$73321+0.6%
Georgia$28$7132962+0.3%
Missouri$28$11515205+0.3%
Illinois$28$144231920.0%
Michigan$28$11437556-0.0%
Massachusetts$28$12638261-0.3%
New Mexico$28$46549-1.0%
Utah$28$8326192-1.4%
Montana$27$838216-1.7%
Oklahoma$27$861129-2.3%
West Virginia$27$123634-3.1%
Alabama$27$9137613-3.1%
Kentucky$27$7213211-3.1%
Louisiana$27$9636456-3.4%
Indiana$27$6721361-3.7%
Kansas$27$8034785-3.9%
Arkansas$27$98763-4.2%
North Carolina$26$10752363-5.1%
Pennsylvania$26$6038501-5.7%
Mississippi$26$10316348-5.7%
Wisconsin$26$1441345-6.5%
Oregon$26$424100-6.6%
South Carolina$25$15918547-8.9%
Nebraska$25$1221116-10.2%
Ohio$25$11542321-10.9%
Texas$22$7199882-21.4%
Tennessee$21$11731386-24.6%

⚠️ 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