98925

Osteopathic manipulative treatment, 1-2 body regions

Medicare pricing data for 4,079 providers across 51 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

Osteopathic manipulative treatment, 1-2 body regions (HCPCS code 98925) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $30.77, but hospitals typically charge $90.63 — a 2.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.15

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $30.77, your out-of-pocket cost would be approximately $6.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$30.77
Average Hospital Charge
$90.63
Markup Ratio
2.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$90.63
Medicare Allowed$30.77
Medicare Payment$23.08

Hospitals charge 2.9x more than what Medicare allows for this procedure. Medicare actually pays $23.08 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$36$142481,270+18.5%
New Jersey$34$1591252,738+11.0%
District of Columbia$33$743177+8.5%
New York$33$1361836,449+8.4%
Connecticut$32$7327366+4.9%
California$32$812805,890+4.6%
Maryland$32$7624343+4.0%
Illinois$32$1111061,101+3.8%
Rhode Island$32$88938+2.8%
Delaware$31$621161+1.8%
Puerto Rico$31$321228+1.1%
Washington$31$77151950+0.9%
Nevada$31$8826829+0.8%
Massachusetts$31$32754406+0.1%
Colorado$31$73116852+0.1%
Vermont$31$42420-0.5%
Virginia$30$801411,212-1.1%
Wyoming$30$751345-1.5%
Hawaii$30$5412214-1.7%
Arizona$30$461192,670-1.9%
Utah$30$6336189-2.5%
New Hampshire$30$8721112-2.6%
Montana$30$6623265-3.4%
Florida$30$672392,700-3.5%
Pennsylvania$30$662481,673-3.7%
North Carolina$29$6273235-4.6%
Oregon$29$76105471-4.9%
Indiana$29$87952,401-5.5%
Idaho$29$4954432-5.8%
Texas$29$672182,328-5.9%
Missouri$29$541121,201-6.3%
Michigan$29$553151,807-6.6%
Nebraska$29$698155-6.7%
Minnesota$29$10675300-6.8%
Ohio$29$692731,336-7.0%
New Mexico$28$6821225-7.6%
Alabama$28$621537-7.8%
Mississippi$28$57843-8.2%
South Carolina$28$8644126-8.7%
Kentucky$28$7645177-9.2%
Wisconsin$28$132109738-9.4%
West Virginia$27$6933135-11.9%
Georgia$27$6944184-12.6%
Tennessee$27$5558526-13.4%
Kansas$27$9130178-13.6%
Louisiana$26$67928-14.5%
Maine$26$6168419-15.7%
Iowa$26$8576378-16.4%
Oklahoma$25$6298442-18.0%
Arkansas$24$5027349-20.8%
South Dakota$22$41647-27.8%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber