92553

Test for hearing various pitches using earphone and device placed against the bone

Medicare pricing data for 4,779 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 and device placed against the bone (HCPCS code 92553) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $43.70, but hospitals typically charge $90.22 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.74

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $43.70, your out-of-pocket cost would be approximately $8.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$43.70
Average Hospital Charge
$90.22
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$90.22
Medicare Allowed$43.70
Medicare Payment$31.21

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $31.21 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$52$1092373,130+19.3%
District of Columbia$52$1031358+18.4%
New York$50$1162862,557+14.8%
New Jersey$50$1401331,233+13.7%
Alaska$48$22716145+9.1%
Maryland$48$861501,164+9.0%
Connecticut$47$8875460+8.6%
Massachusetts$47$115165978+8.6%
Virginia$47$681391,652+6.4%
Washington$46$88122893+6.0%
Hawaii$46$661458+5.0%
Rhode Island$45$732195+4.0%
New Hampshire$45$10325234+3.7%
Colorado$45$86111640+2.0%
North Dakota$44$131929+0.2%
Delaware$44$6420123-0.3%
Illinois$44$872311,710-0.5%
Minnesota$43$136123708-0.5%
Wyoming$43$721247-0.7%
Maine$43$931553-0.8%
Nevada$43$861941-1.3%
Montana$43$941231-1.4%
Vermont$43$971363-1.4%
Oregon$43$10763365-2.2%
South Dakota$42$5414193-3.7%
Michigan$42$781271,209-3.9%
Texas$42$823432,606-4.4%
Pennsylvania$42$732081,226-4.4%
Florida$41$822471,385-5.4%
Arizona$41$76941,054-6.0%
Missouri$41$8198581-6.4%
Georgia$41$100172807-6.6%
Wisconsin$41$120107396-6.7%
North Carolina$40$90196996-8.2%
Nebraska$40$11141255-8.8%
Ohio$40$75155755-9.1%
Utah$40$8146239-9.5%
Iowa$39$8667371-9.7%
New Mexico$39$593390-9.7%
Indiana$39$661361,310-9.8%
Idaho$39$8425120-10.2%
Kansas$39$10569582-10.6%
Tennessee$39$91114555-11.2%
Oklahoma$38$8050303-12.0%
West Virginia$38$6218377-12.9%
Louisiana$38$7873844-13.2%
South Carolina$38$7179353-13.8%
Kentucky$37$6072875-14.7%
Alabama$37$5284790-15.0%
Mississippi$37$7545318-16.3%
Arkansas$36$6439253-16.9%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber