92552

Test for hearing various pitches using earphone

Medicare pricing data for 6,278 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 for hearing various pitches using earphone (HCPCS code 92552) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $35.73, but hospitals typically charge $69.67 — a 1.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.15

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $35.73, your out-of-pocket cost would be approximately $7.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$35.73
Average Hospital Charge
$69.67
Markup Ratio
1.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$69.67
Medicare Allowed$35.73
Medicare Payment$25.34

Hospitals charge 1.9x more than what Medicare allows for this procedure. Medicare actually pays $25.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$42$765288,530+17.0%
District of Columbia$42$6115313+16.3%
New Jersey$41$771553,048+15.3%
New York$40$824308,491+11.9%
Maryland$39$662122,564+10.0%
Hawaii$39$5113248+9.7%
Connecticut$39$95952,108+8.4%
Massachusetts$39$901743,060+8.3%
Alaska$38$13716141+5.1%
New Hampshire$37$10740545+3.8%
Washington$37$811191,509+3.6%
Rhode Island$37$6936963+2.8%
Colorado$37$661613,261+2.8%
Virginia$36$552254,857+1.0%
Minnesota$36$1151371,267+0.3%
Illinois$35$722383,634-0.7%
Delaware$35$7420833-0.8%
Wyoming$35$8522767-1.4%
North Dakota$35$8417105-1.8%
South Dakota$35$7115292-2.6%
Maine$35$6920313-2.8%
Nevada$35$6129372-2.8%
Oregon$35$9273539-3.1%
Texas$35$744204,377-3.3%
Vermont$34$6827473-3.8%
Pennsylvania$34$602522,563-4.3%
Florida$34$572172,795-4.4%
Arizona$34$631301,698-5.1%
Michigan$34$65135989-6.0%
Missouri$33$641091,850-6.6%
Wisconsin$33$98117954-6.8%
Montana$33$672587-7.6%
Georgia$33$802433,244-7.9%
West Virginia$33$6030193-8.1%
North Carolina$33$552712,542-8.1%
Utah$33$54521,104-8.3%
Kansas$32$52943,084-10.0%
Nebraska$32$6659610-10.1%
Indiana$32$511812,794-10.3%
Iowa$32$7568748-10.6%
Ohio$32$581751,856-11.3%
New Mexico$32$5148716-11.5%
South Carolina$32$6999785-11.5%
Oklahoma$31$5473819-12.2%
Tennessee$31$641953,894-12.6%
Idaho$31$5731446-12.7%
Louisiana$31$581181,208-12.8%
Alabama$30$391011,090-15.2%
Kentucky$30$461081,317-16.0%
Arkansas$30$6060948-16.7%
Mississippi$30$6043519-16.9%

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

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