Evaluation of swallowing function
Medicare pricing data for 3,534 providers across 50 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
Evaluation of swallowing function (HCPCS code 92610) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $85.71, but hospitals typically charge $254.33 — a 3.0x 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 $85.71, your out-of-pocket cost would be approximately $17.14. 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 3.0x more than what Medicare allows for this procedure. Medicare actually pays $66.71 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $106 | $566 | 9 | 74 | +23.4% |
| New York | $94 | $310 | 298 | 5,125 | +9.4% |
| District of Columbia | $93 | $158 | 9 | 55 | +8.0% |
| New Jersey | $92 | $183 | 189 | 2,243 | +7.2% |
| California | $90 | $295 | 196 | 1,378 | +5.6% |
| Connecticut | $90 | $232 | 28 | 218 | +5.3% |
| Maryland | $89 | $192 | 94 | 787 | +3.9% |
| Rhode Island | $89 | $173 | 8 | 50 | +3.7% |
| Massachusetts | $89 | $225 | 40 | 309 | +3.5% |
| Hawaii | $89 | $158 | 15 | 157 | +3.5% |
| Delaware | $86 | $171 | 11 | 249 | +0.9% |
| Washington | $86 | $233 | 60 | 478 | +0.8% |
| New Hampshire | $86 | $214 | 13 | 56 | +0.5% |
| Pennsylvania | $86 | $191 | 168 | 2,024 | +0.3% |
| Virginia | $86 | $179 | 101 | 943 | +0.1% |
| Colorado | $85 | $211 | 85 | 498 | -0.5% |
| Minnesota | $85 | $402 | 79 | 1,581 | -0.8% |
| North Dakota | $84 | $187 | 22 | 144 | -1.6% |
| Wyoming | $84 | $161 | 13 | 83 | -2.2% |
| Texas | $84 | $193 | 177 | 884 | -2.4% |
| South Dakota | $84 | $208 | 9 | 26 | -2.5% |
| Maine | $84 | $185 | 17 | 192 | -2.5% |
| Michigan | $83 | $577 | 71 | 543 | -2.6% |
| Illinois | $83 | $206 | 156 | 1,040 | -2.8% |
| Nevada | $83 | $290 | 32 | 461 | -2.9% |
| Montana | $83 | $205 | 18 | 66 | -3.0% |
| New Mexico | $83 | $227 | 15 | 106 | -3.4% |
| Arizona | $83 | $443 | 48 | 909 | -3.5% |
| Oregon | $83 | $255 | 30 | 263 | -3.5% |
| Florida | $83 | $318 | 297 | 3,207 | -3.6% |
| West Virginia | $82 | $167 | 28 | 125 | -4.4% |
| Georgia | $82 | $212 | 110 | 649 | -4.7% |
| Missouri | $81 | $199 | 85 | 753 | -5.0% |
| Wisconsin | $81 | $245 | 70 | 542 | -5.0% |
| Ohio | $81 | $182 | 97 | 610 | -5.6% |
| Utah | $81 | $179 | 31 | 150 | -5.6% |
| North Carolina | $81 | $172 | 97 | 575 | -5.6% |
| Louisiana | $81 | $167 | 34 | 171 | -5.8% |
| Nebraska | $80 | $204 | 51 | 338 | -6.1% |
| Kansas | $80 | $193 | 47 | 329 | -6.1% |
| Iowa | $80 | $196 | 37 | 218 | -6.4% |
| South Carolina | $80 | $200 | 81 | 984 | -6.4% |
| Kentucky | $79 | $179 | 53 | 384 | -7.5% |
| Alabama | $79 | $157 | 34 | 220 | -7.7% |
| Indiana | $79 | $191 | 93 | 543 | -7.7% |
| Mississippi | $78 | $162 | 37 | 203 | -9.0% |
| Tennessee | $78 | $178 | 96 | 606 | -9.2% |
| Idaho | $78 | $159 | 17 | 78 | -9.3% |
| Arkansas | $78 | $185 | 37 | 308 | -9.6% |
| Oklahoma | $77 | $147 | 39 | 369 | -9.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber