92625

Evaluation of hearing ringing in ear

Medicare pricing data for 901 providers across 42 states

🤖AI Overview

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 of hearing ringing in ear (HCPCS code 92625) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $68.73, but hospitals typically charge $143.20 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$13.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $68.73, your out-of-pocket cost would be approximately $13.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$68.73
Average Hospital Charge
$143.20
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$143.20
Medicare Allowed$68.73
Medicare Payment$50.08

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $50.08 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$76$951192+10.8%
New Jersey$74$11831500+7.0%
California$73$176571,562+6.6%
New York$72$165691,059+5.4%
Hawaii$71$114434+2.8%
Maryland$71$13228179+2.6%
Massachusetts$70$112581+2.0%
Rhode Island$70$85286+1.6%
Pennsylvania$69$16528130+1.0%
Delaware$68$136526-0.4%
Washington$68$10031215-0.6%
Puerto Rico$68$70614-1.8%
Illinois$67$1231732-2.5%
Wyoming$67$159322-2.6%
Oregon$67$189921-2.7%
Florida$67$14484742-3.1%
Colorado$67$14453550-3.2%
Utah$66$14025343-3.9%
Virginia$66$15132143-4.1%
Minnesota$66$1531145-4.3%
Texas$66$14481546-4.5%
Ohio$65$1181950-4.8%
Georgia$65$1591585-5.0%
Indiana$65$95411-5.1%
Arizona$65$11434198-5.7%
North Dakota$65$113322-5.9%
Iowa$65$178483-6.0%
Tennessee$65$11541569-6.1%
Michigan$64$1181681-6.3%
Montana$64$110521-6.4%
Oklahoma$64$8614124-6.4%
Alabama$64$104618-6.7%
Kansas$64$14411115-7.0%
Louisiana$64$13522125-7.1%
Idaho$63$1341449-8.3%
New Mexico$63$127512-8.8%
Mississippi$63$1151086-8.8%
Missouri$63$88735-8.9%
South Carolina$63$91430-9.0%
North Carolina$62$14836217-9.2%
Kentucky$61$1571030-10.8%
Arkansas$60$129514-13.0%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber