92567

Test to assess middle ear function

Medicare pricing data for 13,195 providers across 52 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 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

$3.26

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.

Average Allowed Cost
$16.28
Average Hospital Charge
$50.53
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$50.53
Medicare Allowed$16.28
Medicare Payment$11.73

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$19$83311,459+18.1%
District of Columbia$19$58281,874+14.3%
New York$18$7293486,774+12.8%
California$18$5776561,497+11.6%
New Jersey$18$5932232,563+11.4%
Maryland$17$4333733,626+7.4%
Hawaii$17$43402,918+7.2%
Connecticut$17$6017012,766+5.7%
Massachusetts$17$5937835,504+5.3%
Rhode Island$17$66513,628+3.6%
Colorado$17$4427615,105+2.6%
Washington$17$4927620,066+1.7%
Puerto Rico$17$31836+1.7%
Delaware$16$42486,924+1.0%
Wyoming$16$67312,266+0.6%
Virginia$16$4438130,663+0.6%
Illinois$16$6047430,134+0.4%
Nevada$16$49534,979-0.7%
Florida$16$4184579,700-0.9%
Oregon$16$5215910,331-1.0%
Pennsylvania$16$5162247,093-2.0%
Minnesota$16$6024910,436-2.9%
Arizona$16$3929925,805-3.3%
Montana$16$41432,952-3.6%
Texas$16$4699565,574-3.6%
North Carolina$16$4343032,899-4.4%
Georgia$16$5646132,765-4.7%
Michigan$15$4141620,482-5.3%
Utah$15$401275,283-5.3%
South Carolina$15$4123120,817-5.5%
Missouri$15$4726716,946-5.6%
New Mexico$15$37703,929-5.7%
Indiana$15$4433017,793-6.0%
Louisiana$15$4122611,177-6.6%
New Hampshire$15$67675,216-6.7%
Nebraska$15$451185,056-6.8%
Kansas$15$4217710,194-7.0%
Wisconsin$15$8323410,382-7.2%
Iowa$15$461529,475-7.3%
South Dakota$15$56542,655-7.5%
North Dakota$15$46381,708-7.9%
Oklahoma$15$381658,916-7.9%
Alabama$15$3324317,840-8.8%
Tennessee$15$5140925,956-9.0%
Kentucky$15$3919811,007-9.3%
West Virginia$15$41663,205-9.8%
Arkansas$15$40906,364-10.3%
Maine$15$40603,638-10.4%
Mississippi$15$441037,558-10.4%
Ohio$14$4750530,462-11.2%
Idaho$14$39913,868-12.5%
Vermont$14$65311,808-14.6%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber