92550

Test for eardrum and muscle function

Medicare pricing data for 4,490 providers across 52 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 eardrum and muscle function (HCPCS code 92550) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $22.96, but hospitals typically charge $72.75 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$4.59

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $22.96, your out-of-pocket cost would be approximately $4.59. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$22.96
Average Hospital Charge
$72.75
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$72.75
Medicare Allowed$22.96
Medicare Payment$16.60

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $16.60 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$28$17510304+21.0%
District of Columbia$25$6422579+7.9%
New York$25$8548837,123+7.1%
California$24$7744834,688+5.4%
New Jersey$24$6713411,950+4.0%
Hawaii$23$6710494+1.6%
Connecticut$23$91632,485+1.6%
Massachusetts$23$74931,307+0.9%
Maryland$23$601305,429-0.3%
Washington$23$70972,284-1.0%
Pennsylvania$23$721978,792-1.4%
Rhode Island$23$7010560-1.5%
New Hampshire$23$7211184-1.8%
Colorado$23$661184,469-2.0%
Virginia$22$671032,749-3.1%
Illinois$22$651242,568-3.3%
Nevada$22$8217800-4.1%
Montana$22$7817150-4.2%
Puerto Rico$22$231589-4.2%
North Dakota$22$68590-4.4%
Minnesota$22$931162,157-4.6%
Vermont$22$655152-4.6%
Delaware$22$7924542-5.0%
Michigan$22$661001,994-5.4%
Texas$22$7041414,048-5.5%
Indiana$22$10142583-5.7%
Arizona$22$631124,348-5.7%
Oregon$22$6948575-6.0%
Florida$22$5034716,968-6.2%
Maine$22$6311196-6.2%
Wyoming$22$70850-6.2%
Wisconsin$21$9850376-6.9%
Utah$21$71531,588-7.2%
Missouri$21$63681,811-7.2%
South Dakota$21$6312110-7.2%
Ohio$21$591301,975-7.5%
Georgia$21$74982,237-7.8%
North Carolina$21$641041,812-7.9%
Louisiana$21$69902,150-8.3%
Iowa$21$5118102-8.7%
Kansas$21$9545638-9.0%
Nebraska$21$6632605-9.2%
South Carolina$21$67571,427-9.5%
West Virginia$21$6522276-9.8%
Idaho$21$5722868-9.8%
Oklahoma$21$65742,853-10.5%
Kentucky$21$5322124-10.5%
Tennessee$21$811032,109-10.7%
Mississippi$20$5826547-10.8%
Alabama$20$62351,295-11.0%
New Mexico$20$25138457-11.6%
Arkansas$20$55322,027-12.1%

⚠️ 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