92570

Comprehensive hearing test

Medicare pricing data for 882 providers across 37 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

Comprehensive hearing test (HCPCS code 92570) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.33, but hospitals typically charge $95.38 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.67

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $33.33, your out-of-pocket cost would be approximately $6.67. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$33.33
Average Hospital Charge
$95.38
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$95.38
Medicare Allowed$33.33
Medicare Payment$24.31

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $24.31 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$36$1211045,491+7.9%
Maryland$35$8626487+4.8%
New Jersey$35$68201,351+4.6%
Massachusetts$35$1271451+3.9%
California$35$95978,287+3.9%
Virginia$34$16918821+1.7%
Hawaii$33$626371-0.3%
Illinois$33$105391,131-1.1%
Washington$33$9617174-1.7%
Maine$33$522145-2.1%
Puerto Rico$32$65391,031-4.2%
Michigan$32$8517562-4.6%
Arizona$32$8384402-4.7%
North Dakota$32$841140-4.7%
Vermont$32$85122-4.8%
Utah$31$1031394-5.8%
Pennsylvania$31$8822259-5.8%
Montana$31$65766-6.2%
Florida$31$80733,560-6.5%
Tennessee$31$463248-6.9%
Texas$31$8445558-6.9%
Oregon$31$56411-7.1%
Georgia$31$881056-7.5%
South Carolina$31$1007118-8.3%
Kansas$31$8020701-8.4%
Wisconsin$31$169765-8.4%
Louisiana$31$7111506-8.5%
Indiana$30$11220204-8.6%
Missouri$30$10219466-8.7%
Idaho$30$75290-9.0%
Colorado$30$9714123-10.1%
Minnesota$30$9514124-11.2%
New Mexico$29$8421511-11.7%
Nebraska$29$821151-12.1%
North Carolina$28$8811772-15.3%
Ohio$28$1551949-17.4%
Kentucky$27$326107-18.5%

⚠️ 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