92133

Imaging of optic nerve

Medicare pricing data for 38,712 providers across 52 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 2.7 million services annually. Even small pricing inefficiencies here affect millions of patients. 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

Imaging of optic nerve (HCPCS code 92133) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $34.79, but hospitals typically charge $109.51 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.96

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $34.79, your out-of-pocket cost would be approximately $6.96. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$34.79
Average Hospital Charge
$109.51
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$109.51
Medicare Allowed$34.79
Medicare Payment$24.36

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $24.36 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$42$2281177,663+21.6%
District of Columbia$39$122786,898+12.8%
New York$39$1452,329201,919+10.8%
New Jersey$38$1281,01683,432+9.8%
Maryland$38$12066186,569+9.4%
California$38$1203,361292,082+9.1%
Connecticut$38$15456130,192+8.5%
Hawaii$37$11125117,902+6.7%
Rhode Island$37$1142049,881+5.6%
Massachusetts$36$1351,02990,401+2.6%
Delaware$36$10714316,664+2.5%
Virginia$36$9596498,644+2.1%
Washington$35$991,02065,000+1.3%
Nevada$35$10527219,686+0.4%
Puerto Rico$35$461452,535+0.4%
Wyoming$35$109955,875+0.2%
Illinois$35$1211,551104,4050.0%
Montana$35$8117511,860-0.4%
New Hampshire$35$12923122,254-0.7%
Florida$35$902,122206,767-0.8%
Pennsylvania$34$981,872131,944-1.4%
Oregon$34$10261831,740-1.5%
Texas$34$1112,644154,230-1.6%
South Dakota$34$8119410,259-2.1%
Colorado$34$9768727,471-2.8%
Georgia$34$10791366,678-3.3%
South Carolina$34$9355654,644-3.5%
Arizona$33$8871262,179-4.1%
Minnesota$33$12286736,700-4.5%
Missouri$33$10284447,597-4.7%
Indiana$33$9493352,022-5.1%
Maine$33$9123112,341-5.3%
Kansas$33$10052531,218-5.9%
Michigan$33$981,25465,331-6.0%
Idaho$33$7924311,862-6.3%
Kentucky$33$8758127,494-6.3%
Nebraska$33$10131922,472-6.6%
Alabama$32$8158929,960-6.9%
Tennessee$32$9489050,793-7.3%
Utah$32$9435515,712-7.3%
Oklahoma$32$8059128,531-8.0%
Vermont$32$911139,052-8.1%
Ohio$32$1031,51582,031-8.5%
New Mexico$32$7319910,241-8.8%
North Carolina$32$921,13287,203-9.1%
Wisconsin$31$15980639,742-9.5%
Iowa$31$9653637,233-9.5%
North Dakota$31$981849,017-10.0%
Mississippi$31$9935128,326-10.2%
Arkansas$31$8638625,340-11.5%
West Virginia$30$9422113,999-12.8%
Louisiana$30$11749532,866-14.9%

⚠️ 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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