92584

Test to assess electrical potentials generated in the inner ear as a result of sound stimulation

Medicare pricing data for 1,037 providers across 40 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 electrical potentials generated in the inner ear as a result of sound stimulation (HCPCS code 92584) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $109.72, but hospitals typically charge $230.95 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$21.94

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $109.72, your out-of-pocket cost would be approximately $21.94. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$109.72
Average Hospital Charge
$230.95
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$230.95
Medicare Allowed$109.72
Medicare Payment$85.23

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $85.23 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$128$34218177+17.0%
Connecticut$126$3777105+14.4%
California$124$24237564+12.8%
New York$121$40160274+10.3%
Hawaii$120$181251+9.3%
Maryland$120$18036195+9.2%
Colorado$117$22123246+7.0%
Washington$117$26221187+6.2%
Illinois$116$3041881+5.8%
New Hampshire$115$260279+5.2%
Pennsylvania$114$27839328+3.8%
Minnesota$113$4195141+2.7%
Massachusetts$112$169313+2.3%
Virginia$112$23040521+2.1%
Florida$111$2082333,050+0.9%
Michigan$110$18434142+0.1%
District of Columbia$110$158629-0.2%
Arizona$109$25528612-0.7%
Puerto Rico$109$112967-0.8%
Texas$109$20574935-0.8%
Kentucky$109$210824-1.0%
Utah$107$24721125-2.1%
Missouri$106$2081264-3.5%
North Carolina$106$22329215-3.7%
Indiana$105$2341240-4.1%
Nebraska$105$389518-4.3%
Louisiana$105$30116135-4.4%
Idaho$104$177322-4.9%
Delaware$104$189413-5.3%
Georgia$104$24443263-5.5%
New Mexico$103$188517-5.7%
Oklahoma$102$1801135-7.1%
West Virginia$102$2035101-7.1%
Arkansas$100$285553-8.8%
Alabama$99$15540371-10.1%
Ohio$97$2542560-11.2%
Tennessee$96$23252848-12.2%
Mississippi$96$2881883-12.4%
Nevada$94$120577-14.5%
South Carolina$82$1281099-25.5%

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

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