94762

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

Medicare pricing data for 1,845 providers across 45 states

🤖AI Overview

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 continuously overnight (HCPCS code 94762) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $29.91, but hospitals typically charge $60.36 — a 2.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.98

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $29.91, your out-of-pocket cost would be approximately $5.98. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$29.91
Average Hospital Charge
$60.36
Markup Ratio
2.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$60.36
Medicare Allowed$29.91
Medicare Payment$22.20

Hospitals charge 2.0x more than what Medicare allows for this procedure. Medicare actually pays $22.20 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$33$581107,509+10.5%
Florida$32$5114093,401+5.9%
New York$29$68771,398-1.4%
Connecticut$28$6833350-6.8%
Alaska$28$148691-7.2%
New Jersey$27$887824-9.1%
Maryland$27$6428229-10.3%
Rhode Island$27$60240-11.3%
Colorado$27$831604,065-11.3%
Massachusetts$26$4421364-11.8%
Minnesota$26$173703,467-13.1%
Washington$26$8372820-13.2%
Wyoming$26$6217123-13.4%
Delaware$26$50381-13.9%
Illinois$26$9373627-13.9%
Nevada$25$12826692-15.0%
Montana$25$9615419-15.2%
Virginia$25$4827386-15.3%
Puerto Rico$25$35318-16.3%
South Dakota$25$25524-17.4%
Oregon$25$73801,443-17.7%
Texas$24$66641,062-18.2%
Arizona$24$191731,991-18.2%
Michigan$24$7120372-19.1%
Pennsylvania$24$8248210-19.4%
Wisconsin$24$18278399-19.4%
Nebraska$24$48424-19.9%
South Carolina$24$66937-20.8%
North Carolina$24$8239904-20.9%
Utah$23$61661,912-21.7%
Georgia$23$72711,386-21.9%
New Mexico$23$5312118-22.0%
Ohio$23$4546705-22.3%
Indiana$23$7883461-22.7%
Kansas$23$44578,308-22.9%
Iowa$23$6929342-23.1%
Idaho$23$691243-23.7%
Alabama$23$441762-24.1%
Tennessee$23$77581,104-24.7%
Oklahoma$23$46745-24.7%
Kentucky$22$3912137-26.5%
Arkansas$22$6819158-27.5%
Mississippi$22$731153-27.6%
Missouri$22$7919597-27.9%
West Virginia$21$199719-30.1%

⚠️ 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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