94760

Test to measure oxygen level in blood using ear or finger device

Medicare pricing data for 979 providers across 32 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $12.78 but Medicare allows only $2.31. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. 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

Test to measure oxygen level in blood using ear or finger device (HCPCS code 94760) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2.31, but hospitals typically charge $12.78 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2.31, your out-of-pocket cost would be approximately $0.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$2.31
Average Hospital Charge
$12.78
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$12.78
Medicare Allowed$2.31
Medicare Payment$1.67

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $1.67 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$3$212161,505+29.9%
District of Columbia$3$321024+22.9%
New Jersey$3$172063+15.6%
Maryland$3$142051+13.0%
Florida$3$106285+10.4%
Connecticut$3$181320+10.0%
California$3$1578284+9.1%
Massachusetts$3$28100386+8.2%
Virginia$3$191417+8.2%
Nevada$2$35721+3.9%
Rhode Island$2$12939+3.9%
Colorado$2$14915+2.6%
Washington$2$92899+0.9%
Illinois$2$9301,613-0.9%
Texas$2$2754232-0.9%
Michigan$2$1137102-2.2%
Oregon$2$71821-3.5%
Missouri$2$14735-4.8%
Arizona$2$1227128-4.8%
Louisiana$2$111722-5.2%
Wisconsin$2$25923-6.1%
West Virginia$2$35940-6.5%
Ohio$2$232455-6.9%
North Carolina$2$131218-7.8%
South Carolina$2$21619-10.0%
Indiana$2$91779-10.4%
Kentucky$2$6203,233-11.7%
Tennessee$2$191365-13.9%
Mississippi$2$16420-16.0%
Arkansas$2$9614-17.3%
Oklahoma$2$16723-19.0%
Pennsylvania$2$1930344-26.8%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber