Test to assess middle ear function
Medicare pricing data for 13,195 providers across 52 states
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 middle ear function (HCPCS code 92567) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $16.28, but hospitals typically charge $50.53 — a 3.1x 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 $16.28, your out-of-pocket cost would be approximately $3.26. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $11.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $19 | $83 | 31 | 1,459 | +18.1% |
| District of Columbia | $19 | $58 | 28 | 1,874 | +14.3% |
| New York | $18 | $72 | 934 | 86,774 | +12.8% |
| California | $18 | $57 | 765 | 61,497 | +11.6% |
| New Jersey | $18 | $59 | 322 | 32,563 | +11.4% |
| Maryland | $17 | $43 | 337 | 33,626 | +7.4% |
| Hawaii | $17 | $43 | 40 | 2,918 | +7.2% |
| Connecticut | $17 | $60 | 170 | 12,766 | +5.7% |
| Massachusetts | $17 | $59 | 378 | 35,504 | +5.3% |
| Rhode Island | $17 | $66 | 51 | 3,628 | +3.6% |
| Colorado | $17 | $44 | 276 | 15,105 | +2.6% |
| Washington | $17 | $49 | 276 | 20,066 | +1.7% |
| Puerto Rico | $17 | $31 | 8 | 36 | +1.7% |
| Delaware | $16 | $42 | 48 | 6,924 | +1.0% |
| Wyoming | $16 | $67 | 31 | 2,266 | +0.6% |
| Virginia | $16 | $44 | 381 | 30,663 | +0.6% |
| Illinois | $16 | $60 | 474 | 30,134 | +0.4% |
| Nevada | $16 | $49 | 53 | 4,979 | -0.7% |
| Florida | $16 | $41 | 845 | 79,700 | -0.9% |
| Oregon | $16 | $52 | 159 | 10,331 | -1.0% |
| Pennsylvania | $16 | $51 | 622 | 47,093 | -2.0% |
| Minnesota | $16 | $60 | 249 | 10,436 | -2.9% |
| Arizona | $16 | $39 | 299 | 25,805 | -3.3% |
| Montana | $16 | $41 | 43 | 2,952 | -3.6% |
| Texas | $16 | $46 | 995 | 65,574 | -3.6% |
| North Carolina | $16 | $43 | 430 | 32,899 | -4.4% |
| Georgia | $16 | $56 | 461 | 32,765 | -4.7% |
| Michigan | $15 | $41 | 416 | 20,482 | -5.3% |
| Utah | $15 | $40 | 127 | 5,283 | -5.3% |
| South Carolina | $15 | $41 | 231 | 20,817 | -5.5% |
| Missouri | $15 | $47 | 267 | 16,946 | -5.6% |
| New Mexico | $15 | $37 | 70 | 3,929 | -5.7% |
| Indiana | $15 | $44 | 330 | 17,793 | -6.0% |
| Louisiana | $15 | $41 | 226 | 11,177 | -6.6% |
| New Hampshire | $15 | $67 | 67 | 5,216 | -6.7% |
| Nebraska | $15 | $45 | 118 | 5,056 | -6.8% |
| Kansas | $15 | $42 | 177 | 10,194 | -7.0% |
| Wisconsin | $15 | $83 | 234 | 10,382 | -7.2% |
| Iowa | $15 | $46 | 152 | 9,475 | -7.3% |
| South Dakota | $15 | $56 | 54 | 2,655 | -7.5% |
| North Dakota | $15 | $46 | 38 | 1,708 | -7.9% |
| Oklahoma | $15 | $38 | 165 | 8,916 | -7.9% |
| Alabama | $15 | $33 | 243 | 17,840 | -8.8% |
| Tennessee | $15 | $51 | 409 | 25,956 | -9.0% |
| Kentucky | $15 | $39 | 198 | 11,007 | -9.3% |
| West Virginia | $15 | $41 | 66 | 3,205 | -9.8% |
| Arkansas | $15 | $40 | 90 | 6,364 | -10.3% |
| Maine | $15 | $40 | 60 | 3,638 | -10.4% |
| Mississippi | $15 | $44 | 103 | 7,558 | -10.4% |
| Ohio | $14 | $47 | 505 | 30,462 | -11.2% |
| Idaho | $14 | $39 | 91 | 3,868 | -12.5% |
| Vermont | $14 | $65 | 31 | 1,808 | -14.6% |
⚠️ 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