Administration of developmental test, first hour
Medicare pricing data for 235 providers across 15 states
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
Administration of developmental test, first hour (HCPCS code 96112) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $115.22, but hospitals typically charge $190.93 — a 1.7x 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 $115.22, your out-of-pocket cost would be approximately $23.04. 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 1.7x more than what Medicare allows for this procedure. Medicare actually pays $90.49 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $137 | $276 | 8 | 316 | +18.6% |
| Delaware | $125 | $180 | 1 | 172 | +8.8% |
| Georgia | $124 | $162 | 2 | 134 | +7.7% |
| Arizona | $123 | $175 | 3 | 619 | +6.5% |
| Nevada | $122 | $180 | 6 | 1,262 | +5.6% |
| North Carolina | $121 | $170 | 10 | 71 | +4.8% |
| Michigan | $120 | $262 | 8 | 21 | +4.2% |
| Texas | $120 | $228 | 16 | 460 | +3.7% |
| New York | $119 | $297 | 8 | 29 | +3.2% |
| Oregon | $119 | $153 | 6 | 39 | +3.2% |
| Missouri | $116 | $209 | 14 | 1,816 | +0.8% |
| Tennessee | $115 | $228 | 6 | 239 | +0.2% |
| California | $113 | $184 | 78 | 8,982 | -2.3% |
| Florida | $105 | $126 | 12 | 90 | -8.5% |
| Kentucky | $105 | $196 | 6 | 99 | -8.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber