Test to assess defects in adaption to sounds
Medicare pricing data for 207 providers across 14 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 to assess defects in adaption to sounds (HCPCS code 92563) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $36.92, but hospitals typically charge $64.68 — a 1.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $36.92, your out-of-pocket cost would be approximately $7.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $27.57 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $39 | $77 | 60 | 2,841 | +6.8% |
| New Jersey | $38 | $47 | 14 | 835 | +3.1% |
| Hawaii | $37 | $60 | 1 | 164 | +1.5% |
| California | $37 | $63 | 32 | 2,080 | +0.6% |
| Rhode Island | $34 | $40 | 1 | 210 | -6.7% |
| Maryland | $33 | $61 | 11 | 82 | -9.5% |
| Pennsylvania | $33 | $68 | 10 | 147 | -10.2% |
| Puerto Rico | $33 | $34 | 3 | 78 | -10.4% |
| Illinois | $33 | $43 | 6 | 277 | -10.9% |
| Tennessee | $33 | $45 | 2 | 254 | -11.3% |
| Virginia | $33 | $49 | 3 | 73 | -11.5% |
| Oregon | $32 | $65 | 1 | 62 | -13.8% |
| Florida | $31 | $68 | 23 | 578 | -15.5% |
| Ohio | $30 | $45 | 3 | 80 | -18.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber