96133

Evaluation of neuropsychological test, each additional hour

Medicare pricing data for 4,039 providers across 52 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

Evaluation of neuropsychological test, each additional hour (HCPCS code 96133) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $94.10, but hospitals typically charge $276.35 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$18.82

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $94.10, your out-of-pocket cost would be approximately $18.82. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$94.10
Average Hospital Charge
$276.35
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$276.35
Medicare Allowed$94.10
Medicare Payment$74.41

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $74.41 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$133$5047816+41.1%
District of Columbia$106$24313804+12.4%
Maryland$103$246716,506+9.5%
New Jersey$103$2731079,062+9.4%
New York$102$34918915,106+8.5%
Hawaii$100$21510634+6.0%
Connecticut$98$321724,728+4.4%
Delaware$98$2064729+4.0%
Oregon$97$264534,479+3.5%
California$97$38239947,648+3.0%
Florida$96$26331243,043+2.3%
Rhode Island$96$246362,558+2.3%
Wyoming$96$3986379+2.2%
Vermont$96$26810528+2.1%
Massachusetts$96$27018719,078+2.1%
Colorado$96$2521096,267+1.5%
Puerto Rico$95$989358+1.5%
Arizona$95$2239015,223+1.0%
Nevada$95$227243,517+0.7%
Virginia$95$2687911,555+0.6%
Washington$94$263744,919+0.4%
Pennsylvania$93$23420814,707-0.8%
Illinois$93$29224621,827-0.8%
Texas$93$24732934,269-1.1%
New Hampshire$93$177303,840-1.3%
Nebraska$93$295161,635-1.4%
Mississippi$93$17212849-1.6%
Georgia$92$223686,300-2.2%
Kansas$92$220274,211-2.6%
Minnesota$91$361904,948-2.8%
New Mexico$91$209311,693-2.8%
North Carolina$91$23710811,043-3.0%
Maine$91$251251,109-3.4%
South Carolina$91$225394,313-3.5%
Missouri$90$249493,765-3.9%
Oklahoma$90$219303,587-4.0%
Indiana$90$233694,038-4.5%
Idaho$89$202271,247-4.9%
Kentucky$89$282332,320-5.6%
Utah$89$212261,645-5.8%
Michigan$89$26619412,020-5.9%
Ohio$88$2771358,636-6.5%
Montana$88$235201,600-6.8%
Tennessee$87$227596,500-7.8%
Wisconsin$87$4521175,929-8.0%
Alabama$86$189251,742-9.1%
Arkansas$85$183326,710-10.0%
West Virginia$84$22222912-10.8%
Iowa$83$320413,935-12.0%
South Dakota$83$164171,589-12.1%
Louisiana$81$166251,044-13.6%
North Dakota$80$168182,420-14.8%

⚠️ 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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