Therapy procedure using sensory experiences
Medicare pricing data for 740 providers across 31 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
Therapy procedure using sensory experiences (HCPCS code 97533) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $51.54, but hospitals typically charge $90.46 — a 1.8x 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 $51.54, your out-of-pocket cost would be approximately $10.31. 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 1.8x more than what Medicare allows for this procedure. Medicare actually pays $40.37 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $62 | $110 | 25 | 2,106 | +20.1% |
| Nevada | $61 | $99 | 11 | 927 | +18.6% |
| California | $60 | $127 | 98 | 13,359 | +15.6% |
| North Dakota | $57 | $100 | 2 | 28 | +11.4% |
| Louisiana | $56 | $109 | 9 | 273 | +9.4% |
| Wisconsin | $56 | $89 | 5 | 79 | +9.0% |
| Maryland | $56 | $109 | 20 | 1,221 | +8.5% |
| Colorado | $55 | $106 | 27 | 1,372 | +7.5% |
| Minnesota | $55 | $100 | 11 | 50 | +7.5% |
| Alabama | $55 | $98 | 8 | 61 | +7.1% |
| Missouri | $55 | $106 | 6 | 391 | +6.7% |
| Oregon | $54 | $73 | 5 | 73 | +5.1% |
| Utah | $54 | $81 | 7 | 43 | +4.2% |
| Kentucky | $53 | $97 | 21 | 176 | +3.5% |
| Indiana | $53 | $171 | 6 | 1,059 | +3.2% |
| Puerto Rico | $53 | $68 | 9 | 887 | +2.9% |
| North Carolina | $53 | $70 | 11 | 418 | +1.9% |
| Washington | $52 | $73 | 13 | 69 | +1.7% |
| Georgia | $51 | $67 | 88 | 3,892 | -0.7% |
| New York | $51 | $63 | 86 | 4,875 | -1.1% |
| Texas | $51 | $110 | 32 | 916 | -1.4% |
| Arizona | $51 | $71 | 17 | 3,433 | -1.9% |
| South Dakota | $50 | $95 | 6 | 133 | -3.7% |
| Michigan | $49 | $138 | 14 | 121 | -5.1% |
| Ohio | $48 | $74 | 13 | 273 | -7.3% |
| South Carolina | $47 | $92 | 9 | 136 | -8.3% |
| Illinois | $47 | $128 | 19 | 1,509 | -9.1% |
| Tennessee | $45 | $73 | 41 | 1,460 | -12.6% |
| Pennsylvania | $45 | $66 | 11 | 1,137 | -13.0% |
| Florida | $45 | $70 | 56 | 16,885 | -13.6% |
| Virginia | $43 | $57 | 11 | 463 | -15.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber