92555

Test for ability to detect and repeat spoken words

Medicare pricing data for 2,754 providers across 50 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 ability to detect and repeat spoken words (HCPCS code 92555) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $27.32, but hospitals typically charge $53.44 — a 2.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $27.32, your out-of-pocket cost would be approximately $5.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$27.32
Average Hospital Charge
$53.44
Markup Ratio
2.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$53.44
Medicare Allowed$27.32
Medicare Payment$19.76

Hospitals charge 2.0x more than what Medicare allows for this procedure. Medicare actually pays $19.76 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$33$69126871+20.5%
District of Columbia$32$581039+18.6%
Maryland$32$48106831+17.4%
New Jersey$32$5873265+15.5%
New York$31$722371,113+13.0%
Massachusetts$30$78116511+11.4%
Alaska$30$114753+10.1%
Washington$30$6458255+9.6%
Connecticut$30$4432225+8.4%
New Hampshire$29$791017+6.4%
Hawaii$29$45615+5.5%
Virginia$29$4273289+5.1%
Colorado$28$5062187+1.9%
Rhode Island$28$54932+1.3%
Minnesota$28$9075421+0.7%
Illinois$27$55127675+0.6%
North Dakota$27$69612+0.5%
Delaware$27$481643+0.1%
Vermont$27$61818-0.3%
Florida$27$44100452-0.3%
Maine$27$501458-0.6%
Oregon$27$6735191-1.2%
Wyoming$27$42839-2.3%
Arizona$26$4140159-3.2%
Pennsylvania$26$40142928-4.1%
South Dakota$26$36859-4.6%
Michigan$26$3750869-5.0%
Texas$26$60177622-5.2%
Missouri$26$4667224-6.6%
Wisconsin$25$7659232-7.0%
Georgia$25$6085401-7.7%
North Carolina$25$47117318-8.0%
Ohio$25$3692493-8.2%
Utah$25$502341-8.3%
Indiana$25$40101474-9.2%
Nebraska$25$492860-9.4%
New Mexico$25$382081-9.7%
Kansas$25$5238196-9.8%
South Carolina$25$564697-9.8%
Iowa$25$4831150-10.1%
Nevada$25$51814-10.2%
Idaho$25$511044-10.3%
West Virginia$24$4418121-11.0%
Oklahoma$24$4933303-11.2%
Tennessee$24$5885468-11.5%
Louisiana$24$5441338-11.8%
Kentucky$24$3137680-12.7%
Alabama$24$3027169-13.9%
Mississippi$23$5925123-16.0%
Arkansas$23$482797-16.3%

⚠️ 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