Evaluation of hearing function related to surgically implanted hearing device, each additional 15 minutes
Medicare pricing data for 592 providers across 40 states
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 function related to surgically implanted hearing device, each additional 15 minutes (HCPCS code 92627) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $20.40, but hospitals typically charge $71.28 — a 3.5x 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 $20.40, your out-of-pocket cost would be approximately $4.08. 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 3.5x more than what Medicare allows for this procedure. Medicare actually pays $15.41 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $23 | $59 | 4 | 37 | +14.6% |
| New York | $23 | $219 | 27 | 268 | +11.7% |
| New Jersey | $22 | $232 | 6 | 31 | +9.9% |
| California | $22 | $84 | 40 | 609 | +8.6% |
| Massachusetts | $22 | $103 | 7 | 34 | +8.5% |
| Connecticut | $22 | $77 | 9 | 100 | +7.4% |
| Maryland | $22 | $74 | 21 | 219 | +6.5% |
| Washington | $21 | $64 | 24 | 218 | +4.8% |
| Alaska | $21 | $40 | 3 | 23 | +4.7% |
| Virginia | $21 | $55 | 16 | 63 | +1.1% |
| Pennsylvania | $21 | $56 | 24 | 114 | +0.8% |
| Montana | $20 | $65 | 3 | 22 | +0.4% |
| Oregon | $20 | $65 | 11 | 72 | +0.2% |
| Florida | $20 | $60 | 35 | 233 | +0.1% |
| Texas | $20 | $59 | 43 | 591 | -0.1% |
| Minnesota | $20 | $66 | 8 | 67 | -0.3% |
| Colorado | $20 | $61 | 20 | 189 | -0.8% |
| South Dakota | $20 | $94 | 7 | 31 | -1.2% |
| Arizona | $20 | $51 | 13 | 88 | -1.3% |
| Missouri | $20 | $57 | 25 | 366 | -1.5% |
| Georgia | $20 | $58 | 11 | 60 | -2.1% |
| Wisconsin | $20 | $122 | 10 | 65 | -3.1% |
| Michigan | $20 | $35 | 30 | 198 | -3.2% |
| Utah | $20 | $70 | 7 | 32 | -3.4% |
| North Carolina | $20 | $71 | 17 | 95 | -4.2% |
| Illinois | $20 | $81 | 22 | 150 | -4.2% |
| Ohio | $19 | $73 | 28 | 260 | -4.5% |
| South Carolina | $19 | $66 | 8 | 178 | -4.8% |
| Nebraska | $19 | $47 | 8 | 72 | -5.0% |
| Iowa | $19 | $72 | 6 | 157 | -5.1% |
| Louisiana | $19 | $42 | 4 | 30 | -5.4% |
| Kentucky | $19 | $57 | 14 | 235 | -5.5% |
| Indiana | $19 | $35 | 9 | 48 | -5.8% |
| Oklahoma | $19 | $50 | 19 | 402 | -5.8% |
| Tennessee | $19 | $51 | 14 | 157 | -6.0% |
| Arkansas | $19 | $48 | 4 | 57 | -6.0% |
| New Mexico | $19 | $33 | 5 | 41 | -6.3% |
| Mississippi | $19 | $40 | 2 | 87 | -7.4% |
| Idaho | $19 | $47 | 5 | 49 | -7.4% |
| Alabama | $17 | $54 | 4 | 31 | -18.9% |
⚠️ 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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