Analysis and reprogramming of inner ear implant (7 years or older)
Medicare pricing data for 1,397 providers across 49 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
Analysis and reprogramming of inner ear implant (7 years or older) (HCPCS code 92604) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $88.65, but hospitals typically charge $253.10 — a 2.9x 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 $88.65, your out-of-pocket cost would be approximately $17.73. 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 2.9x more than what Medicare allows for this procedure. Medicare actually pays $63.83 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $105 | $230 | 9 | 135 | +18.6% |
| New Jersey | $101 | $384 | 8 | 124 | +13.7% |
| California | $100 | $295 | 82 | 1,666 | +12.4% |
| New York | $100 | $384 | 55 | 1,184 | +12.3% |
| Maryland | $98 | $262 | 27 | 733 | +10.8% |
| Connecticut | $98 | $290 | 20 | 248 | +10.6% |
| Washington | $95 | $250 | 35 | 592 | +6.6% |
| Hawaii | $94 | $272 | 3 | 33 | +6.1% |
| Alaska | $92 | $119 | 4 | 129 | +4.0% |
| Colorado | $92 | $206 | 46 | 781 | +3.2% |
| Montana | $91 | $235 | 8 | 234 | +2.8% |
| Virginia | $91 | $285 | 30 | 796 | +2.7% |
| Delaware | $91 | $192 | 3 | 28 | +2.6% |
| Nevada | $91 | $288 | 11 | 196 | +2.5% |
| Wyoming | $91 | $251 | 3 | 73 | +2.1% |
| Illinois | $90 | $296 | 46 | 795 | +2.0% |
| North Dakota | $90 | $210 | 6 | 55 | +2.0% |
| Florida | $90 | $216 | 104 | 2,714 | +1.0% |
| Texas | $89 | $232 | 101 | 2,250 | +0.8% |
| Georgia | $89 | $256 | 33 | 675 | +0.7% |
| Oregon | $89 | $255 | 27 | 514 | +0.5% |
| Missouri | $89 | $243 | 35 | 1,182 | +0.3% |
| Arizona | $88 | $219 | 47 | 1,267 | -0.4% |
| North Carolina | $88 | $205 | 36 | 598 | -0.7% |
| South Dakota | $88 | $253 | 14 | 163 | -1.1% |
| Michigan | $88 | $190 | 52 | 823 | -1.3% |
| Utah | $87 | $223 | 21 | 335 | -2.3% |
| Massachusetts | $86 | $305 | 32 | 341 | -2.8% |
| Indiana | $86 | $197 | 34 | 514 | -2.9% |
| South Carolina | $86 | $232 | 19 | 640 | -3.0% |
| Iowa | $86 | $231 | 11 | 303 | -3.4% |
| Oklahoma | $86 | $173 | 41 | 1,080 | -3.5% |
| Nebraska | $86 | $223 | 15 | 556 | -3.5% |
| Louisiana | $86 | $204 | 15 | 114 | -3.5% |
| New Mexico | $85 | $222 | 11 | 218 | -4.0% |
| Kentucky | $85 | $765 | 24 | 575 | -4.5% |
| West Virginia | $85 | $162 | 7 | 99 | -4.6% |
| Kansas | $85 | $349 | 6 | 191 | -4.6% |
| Alabama | $85 | $157 | 29 | 522 | -4.7% |
| Arkansas | $83 | $221 | 11 | 183 | -6.0% |
| Mississippi | $83 | $205 | 5 | 229 | -6.1% |
| Wisconsin | $83 | $356 | 20 | 303 | -6.2% |
| Tennessee | $83 | $304 | 36 | 490 | -6.8% |
| Minnesota | $81 | $240 | 37 | 744 | -9.2% |
| Pennsylvania | $80 | $171 | 66 | 850 | -9.8% |
| Ohio | $79 | $263 | 62 | 1,098 | -10.6% |
| New Hampshire | $76 | $221 | 6 | 226 | -14.1% |
| Maine | $75 | $177 | 9 | 132 | -15.0% |
| Idaho | $72 | $165 | 13 | 270 | -18.8% |
⚠️ 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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