98927

Osteopathic manipulative treatment, 5-6 body regions

Medicare pricing data for 2,988 providers across 47 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, 5-6 body regions (HCPCS code 98927) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $57.36, but hospitals typically charge $127.74 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.47

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $57.36, your out-of-pocket cost would be approximately $11.47. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$57.36
Average Hospital Charge
$127.74
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$127.74
Medicare Allowed$57.36
Medicare Payment$43.50

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $43.50 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$70$25327959+22.9%
New York$65$13116611,378+12.5%
District of Columbia$63$1222597+9.5%
California$62$1322188,374+7.8%
New Jersey$62$1631033,664+7.4%
Massachusetts$61$152642,263+5.9%
Connecticut$60$12327602+5.5%
Idaho$59$16717290+2.8%
New Hampshire$58$112242,452+1.1%
North Dakota$58$157268+0.6%
Rhode Island$58$1711381+0.3%
Pennsylvania$57$1331542,465-0.0%
Maryland$57$14713212-0.1%
Florida$57$1491175,490-0.3%
Vermont$57$877379-1.1%
Hawaii$57$10810618-1.3%
Washington$56$1311421,708-1.7%
Colorado$56$1111162,467-1.9%
Illinois$56$129841,171-2.5%
Minnesota$56$92551,670-3.2%
Utah$55$14313268-3.4%
Arizona$55$98861,950-3.5%
Oregon$55$105922,127-3.7%
Virginia$55$105611,361-3.7%
New Mexico$55$14010965-3.7%
Nevada$55$16220417-4.4%
Indiana$55$13060599-4.9%
Kansas$54$11418160-5.3%
Tennessee$54$10732299-6.0%
North Carolina$53$16055552-6.9%
Nebraska$53$150742-7.0%
Missouri$53$86732,308-7.1%
Arkansas$53$1289251-7.3%
Georgia$53$1251884-7.8%
Texas$52$113853,908-8.6%
Wisconsin$52$2001171,777-9.1%
Michigan$52$912715,285-9.3%
South Carolina$52$12929111-9.5%
Ohio$52$1351753,022-9.6%
Delaware$51$112982-10.3%
Kentucky$51$10142970-11.1%
Iowa$51$156611,355-11.5%
Oklahoma$50$102761,023-12.2%
Montana$50$9821481-13.0%
Maine$50$1141342,242-13.3%
West Virginia$44$139638-23.2%
Louisiana$44$137671-23.3%

⚠️ 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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