92548

Test for balance and posture

Medicare pricing data for 752 providers across 36 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 balance and posture (HCPCS code 92548) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $47.91, but hospitals typically charge $211.17 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$9.58

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $47.91, your out-of-pocket cost would be approximately $9.58. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$47.91
Average Hospital Charge
$211.17
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$211.17
Medicare Allowed$47.91
Medicare Payment$36.71

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $36.71 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$52$195293,028+9.4%
Virginia$52$2338726+8.8%
California$51$325553,713+6.1%
New Jersey$50$20420835+5.2%
Connecticut$49$1871043+2.5%
New York$48$211918,788+1.2%
Delaware$47$28014837-1.4%
Michigan$47$21025329-1.6%
Nevada$47$2439419-2.1%
Florida$46$148682,595-3.1%
Texas$46$1731173,436-3.2%
Georgia$46$222311,655-3.5%
Missouri$46$19711236-4.2%
Oregon$46$1267402-4.4%
Minnesota$46$46516106-4.8%
Arizona$45$15935810-5.2%
Utah$45$21920291-5.8%
South Carolina$45$184581-5.9%
Colorado$45$2035133-6.0%
North Carolina$45$192437-6.1%
Hawaii$45$183125-6.7%
Oklahoma$45$149429-6.7%
Indiana$44$17727311-7.2%
Ohio$44$102345-7.5%
Tennessee$44$2484187-7.6%
Louisiana$44$24018232-7.7%
Iowa$44$2405124-8.2%
West Virginia$44$1376123-8.3%
Alabama$44$15219547-8.6%
Nebraska$43$21110167-9.8%
Mississippi$43$112367-10.0%
Washington$42$16210219-12.6%
Massachusetts$41$16316355-13.4%
Illinois$41$241738-13.7%
Pennsylvania$40$12424512-15.5%
South Dakota$33$86472-32.0%

⚠️ 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