98929

Osteopathic manipulative treatment, 9-10 body regions

Medicare pricing data for 1,097 providers across 44 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, 9-10 body regions (HCPCS code 98929) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $83.71, but hospitals typically charge $174.08 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.74

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $83.71, your out-of-pocket cost would be approximately $16.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$83.71
Average Hospital Charge
$174.08
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$174.08
Medicare Allowed$83.71
Medicare Payment$64.35

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $64.35 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$109$2353122+30.5%
Maryland$93$1193823+11.3%
New York$90$170787,926+7.5%
California$89$17411118,126+5.9%
Connecticut$88$17210245+5.0%
New Jersey$87$307381,505+3.9%
Illinois$86$17619742+2.4%
Hawaii$86$13891,617+2.2%
Pennsylvania$85$153324,756+1.4%
District of Columbia$84$136262+0.8%
Massachusetts$84$222405,072+0.3%
Nevada$83$2589432-1.3%
Virginia$83$18124599-1.3%
Florida$82$1697417,096-1.7%
Oregon$82$228322,146-2.0%
Rhode Island$82$261667-2.1%
Colorado$82$171501,814-2.3%
Vermont$82$1425168-2.3%
Washington$82$18536969-2.6%
Texas$81$155321,790-2.8%
Georgia$81$22710108-3.0%
New Hampshire$81$13516579-3.7%
Arizona$80$139363,627-3.9%
New Mexico$80$1414600-4.0%
Indiana$80$1799150-4.6%
Wisconsin$80$44814267-4.9%
Oklahoma$79$16916127-5.6%
Kansas$79$1874183-5.9%
Michigan$79$1481063,376-5.9%
West Virginia$79$250194-6.1%
Missouri$78$17217638-6.7%
Alabama$78$2482219-7.0%
Minnesota$78$2215108-7.3%
Tennessee$77$1805712-7.5%
North Carolina$77$19512145-7.5%
Iowa$77$19415888-8.3%
Maine$76$174753,200-9.4%
Kentucky$75$18812405-10.0%
North Dakota$75$250331-10.2%
Nebraska$75$892230-11.0%
South Carolina$74$875303-11.2%
Utah$74$166636-12.0%
Ohio$72$177492,201-14.4%
Montana$71$97131,049-15.2%

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

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