Therapy service for use of speech-generating device with programming
Medicare pricing data for 434 providers across 23 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
Therapy service for use of speech-generating device with programming (HCPCS code 92609) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $104.34, but hospitals typically charge $155.22 — a 1.5x 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 $104.34, your out-of-pocket cost would be approximately $20.87. 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 1.5x more than what Medicare allows for this procedure. Medicare actually pays $81.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Connecticut | $113 | $196 | 5 | 190 | +8.3% |
| California | $111 | $197 | 20 | 216 | +6.4% |
| New York | $110 | $148 | 68 | 2,985 | +5.5% |
| New Jersey | $108 | $183 | 39 | 776 | +3.8% |
| Maryland | $105 | $144 | 18 | 450 | +0.6% |
| Colorado | $105 | $129 | 23 | 4,560 | +0.3% |
| Washington | $104 | $253 | 7 | 219 | -0.3% |
| Texas | $103 | $190 | 13 | 774 | -0.9% |
| Montana | $103 | $192 | 10 | 240 | -1.1% |
| Pennsylvania | $102 | $188 | 28 | 154 | -2.1% |
| Minnesota | $102 | $172 | 15 | 238 | -2.3% |
| Florida | $102 | $125 | 12 | 158 | -2.6% |
| Virginia | $102 | $187 | 9 | 303 | -2.7% |
| Illinois | $101 | $157 | 13 | 131 | -3.0% |
| Missouri | $101 | $264 | 4 | 144 | -3.0% |
| Wisconsin | $98 | $132 | 5 | 119 | -5.9% |
| North Carolina | $98 | $114 | 7 | 177 | -6.2% |
| Ohio | $97 | $190 | 10 | 136 | -7.1% |
| Idaho | $96 | $119 | 13 | 190 | -8.1% |
| Nebraska | $95 | $201 | 8 | 405 | -8.5% |
| Kansas | $91 | $177 | 3 | 96 | -13.2% |
| Kentucky | $80 | $119 | 9 | 141 | -23.1% |
| Arizona | $73 | $212 | 10 | 59 | -30.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber