Treatment of swallowing and feeding disorder
Medicare pricing data for 3,722 providers across 50 states
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
Treatment of swallowing and feeding disorder (HCPCS code 92526) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $85.18, but hospitals typically charge $166.28 — a 2.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $85.18, your out-of-pocket cost would be approximately $17.04. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.0x more than what Medicare allows for this procedure. Medicare actually pays $67.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $106 | $224 | 9 | 444 | +24.6% |
| New York | $95 | $185 | 269 | 32,434 | +11.0% |
| District of Columbia | $91 | $157 | 10 | 340 | +7.1% |
| New Jersey | $90 | $168 | 200 | 21,846 | +5.9% |
| Hawaii | $90 | $144 | 14 | 1,055 | +5.5% |
| California | $90 | $195 | 200 | 6,952 | +5.3% |
| Maryland | $89 | $163 | 100 | 6,461 | +4.3% |
| Connecticut | $88 | $191 | 26 | 1,470 | +3.4% |
| Rhode Island | $87 | $173 | 9 | 617 | +2.4% |
| Massachusetts | $87 | $170 | 41 | 3,300 | +1.9% |
| Washington | $86 | $172 | 58 | 2,779 | +0.8% |
| Minnesota | $86 | $183 | 85 | 3,330 | +0.6% |
| New Hampshire | $86 | $149 | 14 | 652 | +0.5% |
| New Mexico | $85 | $134 | 18 | 556 | +0.4% |
| Pennsylvania | $85 | $175 | 184 | 19,337 | -0.3% |
| Virginia | $85 | $165 | 113 | 8,835 | -0.3% |
| Colorado | $85 | $145 | 96 | 3,957 | -0.5% |
| Delaware | $84 | $160 | 13 | 2,585 | -1.1% |
| North Dakota | $84 | $167 | 24 | 680 | -1.8% |
| Florida | $83 | $142 | 303 | 22,887 | -2.1% |
| Texas | $83 | $152 | 210 | 8,714 | -2.2% |
| Oregon | $83 | $144 | 25 | 639 | -2.3% |
| Arizona | $83 | $150 | 50 | 2,308 | -2.3% |
| Illinois | $83 | $167 | 184 | 8,959 | -2.5% |
| Nevada | $83 | $324 | 36 | 2,878 | -2.7% |
| Montana | $83 | $152 | 19 | 322 | -3.0% |
| Michigan | $83 | $172 | 77 | 1,760 | -3.1% |
| Wyoming | $82 | $126 | 13 | 488 | -3.6% |
| Georgia | $82 | $166 | 107 | 7,929 | -3.8% |
| South Dakota | $82 | $174 | 8 | 197 | -3.9% |
| Maine | $82 | $176 | 21 | 1,300 | -3.9% |
| Utah | $81 | $156 | 34 | 482 | -5.0% |
| Missouri | $81 | $170 | 90 | 6,384 | -5.4% |
| Louisiana | $81 | $143 | 44 | 3,067 | -5.5% |
| North Carolina | $80 | $132 | 105 | 5,110 | -5.6% |
| Wisconsin | $80 | $175 | 77 | 4,709 | -5.7% |
| Ohio | $80 | $168 | 98 | 7,988 | -5.7% |
| Iowa | $80 | $175 | 42 | 1,876 | -5.8% |
| Kansas | $80 | $154 | 57 | 3,020 | -6.1% |
| South Carolina | $80 | $166 | 83 | 10,223 | -6.2% |
| West Virginia | $80 | $135 | 26 | 1,824 | -6.2% |
| Oklahoma | $80 | $136 | 41 | 1,865 | -6.4% |
| Mississippi | $80 | $125 | 38 | 2,114 | -6.4% |
| Nebraska | $80 | $159 | 49 | 2,122 | -6.5% |
| Kentucky | $79 | $154 | 60 | 3,002 | -6.7% |
| Indiana | $79 | $167 | 99 | 4,531 | -6.8% |
| Arkansas | $79 | $147 | 42 | 2,644 | -7.3% |
| Tennessee | $79 | $145 | 103 | 5,240 | -7.3% |
| Alabama | $79 | $130 | 37 | 1,374 | -7.3% |
| Idaho | $77 | $119 | 26 | 650 | -9.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber