92571

Test to assess by hearing by examining the repetition of real words versus nonsense words

Medicare pricing data for 122 providers across 19 states

🤖AI Overview

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 by hearing by examining the repetition of real words versus nonsense words (HCPCS code 92571) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $29.14, but hospitals typically charge $52.23 — a 1.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.83

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $29.14, your out-of-pocket cost would be approximately $5.83. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$29.14
Average Hospital Charge
$52.23
Markup Ratio
1.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$52.23
Medicare Allowed$29.14
Medicare Payment$20.91

Hospitals charge 1.8x more than what Medicare allows for this procedure. Medicare actually pays $20.91 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$35$668731+19.3%
Illinois$32$447262+8.1%
Washington$30$53352+3.5%
Nevada$30$501207+3.3%
New York$30$5816853+1.8%
Florida$29$52171,561+0.2%
Utah$28$659660-3.7%
Pennsylvania$28$407154-4.1%
North Carolina$28$29147-4.6%
Montana$28$28119-5.3%
Oregon$28$28136-5.4%
Tennessee$27$314137-8.2%
Oklahoma$27$50233-8.7%
Massachusetts$26$28331-9.4%
Texas$26$40539-9.5%
New Mexico$26$289378-11.7%
Colorado$26$5912227-12.4%
Arkansas$25$453351-12.8%
Arizona$20$21253-30.7%

⚠️ 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