97032

Application of electrical stimulation with therapist present, each 15 minutes

Medicare pricing data for 9,319 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

Application of electrical stimulation with therapist present, each 15 minutes (HCPCS code 97032) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $11.66, but hospitals typically charge $40.45 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$2.33

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $11.66, your out-of-pocket cost would be approximately $2.33. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$11.66
Average Hospital Charge
$40.45
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$40.45
Medicare Allowed$11.66
Medicare Payment$9.05

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $9.05 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$15$6549480+32.8%
New York$13$4668361,523+9.4%
District of Columbia$13$2510240+8.2%
New Jersey$12$4034824,795+6.3%
Connecticut$12$41601,504+6.3%
California$12$3968695,263+6.2%
Maryland$12$402069,134+5.6%
Pennsylvania$12$3024313,754+4.2%
Montana$12$37534,492+3.5%
Massachusetts$12$4420112,767+2.7%
Illinois$12$5039422,713+1.6%
Rhode Island$12$49722,040+0.8%
Delaware$12$59442,400-1.1%
Nevada$11$599018,701-1.5%
Colorado$11$362585,971-2.0%
Michigan$11$5331511,425-2.7%
New Hampshire$11$45701,958-2.7%
Wisconsin$11$602003,450-2.8%
Texas$11$4350621,854-2.9%
South Dakota$11$42861,393-3.3%
Wyoming$11$411336,982-3.6%
Arizona$11$3519911,177-3.7%
Florida$11$4060967,547-3.8%
North Dakota$11$45691,231-3.9%
Oregon$11$411041,821-4.0%
Hawaii$11$4312765-4.2%
Maine$11$33611,305-4.5%
Utah$11$36809,146-4.5%
New Mexico$11$37653,343-4.8%
Louisiana$11$3720820,932-4.9%
Georgia$11$3321913,372-5.0%
Ohio$11$392218,136-5.0%
Washington$11$352088,562-5.0%
Kansas$11$38942,990-5.1%
Puerto Rico$11$1816420,330-5.3%
North Carolina$11$352696,374-5.5%
Nebraska$11$441102,008-5.7%
Iowa$11$321212,452-5.7%
Indiana$11$361863,909-5.8%
West Virginia$11$36371,895-5.9%
Minnesota$11$572112,920-6.3%
Idaho$11$24887,071-6.4%
Alabama$11$381524,409-6.4%
Virginia$11$4323611,847-6.7%
Mississippi$11$381016,358-7.0%
Missouri$11$48842,761-7.5%
Tennessee$11$322016,862-7.5%
Arkansas$11$351036,757-7.6%
Vermont$11$39421,731-8.3%
Oklahoma$11$32682,693-9.3%
Kentucky$10$371051,605-10.6%
South Carolina$10$531608,433-13.2%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber