67900

Repair of brow paralysis

Medicare pricing data for 2,472 providers across 49 states

🤖AI Overview

This procedure has a 6.8x markup — hospitals charge $3,682 but Medicare allows only $537.91. Uninsured patients may face bills 6.8 times higher than what insurance negotiates. 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

Repair of brow paralysis (HCPCS code 67900) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $537.91, but hospitals typically charge $3,682 — a 6.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$107.58

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $537.91, your out-of-pocket cost would be approximately $107.58. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$537.91
Average Hospital Charge
$3,682
Markup Ratio
6.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,681.64
Medicare Allowed$537.91
Medicare Payment$426.36

Hospitals charge 6.8x more than what Medicare allows for this procedure. Medicare actually pays $426.36 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$644$2,595948+19.8%
Alaska$636$6,708982+18.3%
Delaware$626$3,026659+16.3%
California$626$5,0332361,427+16.3%
Oregon$621$2,95735210+15.4%
Massachusetts$614$3,05055289+14.2%
Connecticut$614$5,1892158+14.1%
South Dakota$599$2,70414134+11.3%
Kentucky$598$3,07320162+11.2%
Nebraska$595$2,88113109+10.6%
Virginia$582$2,93255500+8.3%
Missouri$574$3,33032158+6.8%
Michigan$570$2,98276395+6.0%
Washington$567$1,91958418+5.5%
New Jersey$565$5,89527299+5.0%
Nevada$561$3,34519466+4.2%
Maine$559$2,7968132+3.9%
Florida$556$3,6432412,267+3.3%
Kansas$546$2,4912792+1.5%
Maryland$544$2,24448688+1.1%
Iowa$543$3,53635522+0.9%
Ohio$542$3,683901,437+0.8%
Arkansas$540$1,86320258+0.5%
South Carolina$535$2,87747252-0.6%
North Carolina$533$2,83978923-0.9%
Texas$532$4,6401841,910-1.2%
New Hampshire$529$4,22113166-1.6%
Colorado$528$3,66756495-1.8%
Illinois$528$4,13455238-1.9%
North Dakota$527$2,40915245-2.0%
Georgia$525$3,74985713-2.4%
Arizona$524$3,03456796-2.5%
Montana$523$2,11118234-2.8%
New York$520$2,829901,432-3.3%
Minnesota$516$3,98570955-4.1%
Pennsylvania$515$2,991119932-4.3%
Oklahoma$514$4,42831683-4.4%
Idaho$514$2,43323176-4.5%
Louisiana$501$2,87428309-6.8%
Alabama$494$2,17121138-8.3%
Wisconsin$493$7,88348532-8.4%
Mississippi$479$4,77733604-11.0%
Utah$475$5,82826571-11.7%
Tennessee$470$3,206611,129-12.7%
Indiana$460$4,00334183-14.4%
West Virginia$448$2,3501467-16.7%
District of Columbia$418$2,084433-22.4%
Puerto Rico$412$6841263-23.3%
Rhode Island$365$2,035313-32.1%

⚠️ 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

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