92950

Manual attempt to restore blood circulation and breathing

Medicare pricing data for 28,368 providers across 52 states

🤖AI Overview

This procedure has a 6.2x markup — hospitals charge $1,122 but Medicare allows only $180.18. Uninsured patients may face bills 6.2 times higher than what insurance negotiates. 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

Manual attempt to restore blood circulation and breathing (HCPCS code 92950) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $180.18, but hospitals typically charge $1,122 — a 6.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$36.04

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $180.18, your out-of-pocket cost would be approximately $36.04. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$180.18
Average Hospital Charge
$1,122
Markup Ratio
6.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,121.87
Medicare Allowed$180.18
Medicare Payment$141.63

Hospitals charge 6.2x more than what Medicare allows for this procedure. Medicare actually pays $141.63 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$229$1,7175685+27.1%
New York$195$1,2901,8613,526+8.0%
District of Columbia$191$898126268+5.9%
New Jersey$190$1,2537701,505+5.4%
Maryland$188$1,0345521,200+4.2%
Connecticut$188$1,061284501+4.1%
California$186$1,0602,5375,576+3.4%
Illinois$186$1,1701,2422,401+3.0%
Rhode Island$184$1,154136255+2.2%
Florida$184$1,1102,2395,041+2.2%
Massachusetts$184$8527731,510+1.9%
Michigan$182$1,1161,1041,850+0.8%
Delaware$182$1,199111216+0.7%
Washington$181$1,002386596+0.6%
Puerto Rico$181$91169113+0.4%
Pennsylvania$181$9991,2121,980+0.2%
Nevada$180$1,113252695-0.2%
Colorado$179$949326483-0.6%
Montana$178$7175875-1.0%
Virginia$178$9537361,295-1.1%
Oregon$178$977253357-1.2%
Louisiana$177$1,583418810-1.6%
New Hampshire$177$1,02997145-1.6%
Arizona$177$1,0865301,042-1.7%
New Mexico$177$1,051138209-1.7%
Hawaii$177$841110181-1.9%
West Virginia$177$1,171142252-1.9%
Ohio$177$1,1621,2662,185-2.0%
Utah$176$1,014123169-2.1%
Vermont$176$1,2924050-2.2%
North Dakota$176$1,02965106-2.3%
Missouri$176$1,0095811,051-2.5%
Georgia$176$1,2379651,988-2.6%
Maine$176$84179107-2.6%
Texas$176$1,2012,1754,253-2.6%
Wyoming$175$1,2314063-2.7%
North Carolina$174$1,0719501,703-3.6%
Minnesota$173$1,157360495-3.8%
South Carolina$172$1,069451890-4.4%
Oklahoma$172$1,134440918-4.4%
Kentucky$172$1,0855391,038-4.7%
South Dakota$172$1,01189150-4.7%
Wisconsin$171$1,624401582-5.0%
Kansas$171$938177293-5.2%
Indiana$171$9996611,175-5.3%
Mississippi$170$1,330369915-5.4%
Idaho$170$98895151-5.6%
Iowa$170$1,012235419-5.7%
Alabama$169$1,054448820-6.2%
Arkansas$169$1,181316637-6.2%
Tennessee$168$1,1467551,693-6.8%
Nebraska$166$907157265-7.7%

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

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