Evaluation and recording of swallowing using an endoscope
Medicare pricing data for 618 providers across 34 states
Prices vary significantly by location — from $64 in Louisiana to $227 in New York. Where you get this procedure matters more than almost any other factor. 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
Evaluation and recording of swallowing using an endoscope (HCPCS code 92612) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $203.56, but hospitals typically charge $631.05 — a 3.1x 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 $203.56, your out-of-pocket cost would be approximately $40.71. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $158.90 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $227 | $843 | 78 | 1,143 | +11.7% |
| Maryland | $224 | $519 | 10 | 49 | +10.0% |
| California | $223 | $890 | 69 | 2,104 | +9.7% |
| New Jersey | $221 | $548 | 18 | 239 | +8.5% |
| Colorado | $204 | $340 | 6 | 56 | 0.0% |
| Massachusetts | $203 | $557 | 22 | 147 | -0.1% |
| Illinois | $202 | $483 | 12 | 189 | -0.8% |
| Pennsylvania | $200 | $457 | 23 | 300 | -1.6% |
| Minnesota | $200 | $956 | 21 | 173 | -1.8% |
| Nevada | $194 | $537 | 7 | 712 | -4.9% |
| Virginia | $192 | $401 | 18 | 168 | -5.4% |
| Wisconsin | $191 | $430 | 8 | 33 | -6.4% |
| Arizona | $190 | $497 | 8 | 36 | -6.6% |
| Washington | $190 | $438 | 8 | 52 | -6.7% |
| Florida | $190 | $417 | 85 | 697 | -6.7% |
| Texas | $189 | $373 | 33 | 454 | -7.1% |
| Missouri | $189 | $475 | 8 | 112 | -7.1% |
| Georgia | $188 | $626 | 18 | 88 | -7.7% |
| Indiana | $182 | $340 | 4 | 84 | -10.8% |
| Ohio | $181 | $388 | 31 | 220 | -10.8% |
| Utah | $181 | $396 | 13 | 100 | -10.9% |
| Kansas | $181 | $343 | 12 | 82 | -11.2% |
| North Carolina | $181 | $498 | 15 | 82 | -11.3% |
| Tennessee | $180 | $370 | 7 | 32 | -11.6% |
| Oklahoma | $179 | $300 | 2 | 85 | -12.3% |
| Iowa | $178 | $523 | 10 | 38 | -12.6% |
| South Carolina | $176 | $426 | 10 | 42 | -13.4% |
| Alabama | $173 | $223 | 15 | 73 | -15.1% |
| Idaho | $171 | $295 | 2 | 24 | -16.0% |
| Arkansas | $162 | $323 | 6 | 41 | -20.2% |
| New Mexico | $119 | $341 | 3 | 22 | -41.6% |
| Michigan | $88 | $365 | 7 | 134 | -56.8% |
| Maine | $66 | $186 | 4 | 15 | -67.5% |
| Louisiana | $64 | $267 | 4 | 144 | -68.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber