Evaluation of swallowing function image
Medicare pricing data for 306 providers across 32 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Evaluation of swallowing function image (HCPCS code 92611) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $91.03, but hospitals typically charge $392.37 — a 4.3x 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 $91.03, your out-of-pocket cost would be approximately $18.21. 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 4.3x more than what Medicare allows for this procedure. Medicare actually pays $70.46 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $104 | $652 | 14 | 514 | +14.0% |
| New Jersey | $102 | $330 | 3 | 91 | +12.5% |
| California | $97 | $282 | 52 | 912 | +7.0% |
| Connecticut | $97 | $250 | 1 | 98 | +6.6% |
| Massachusetts | $96 | $250 | 9 | 572 | +5.5% |
| Maryland | $94 | $352 | 4 | 14 | +3.5% |
| Nebraska | $93 | $386 | 2 | 90 | +2.6% |
| Colorado | $93 | $509 | 3 | 42 | +1.9% |
| Georgia | $92 | $425 | 4 | 53 | +1.0% |
| Michigan | $91 | $203 | 5 | 17 | +0.4% |
| Nevada | $91 | $330 | 3 | 120 | -0.3% |
| Washington | $91 | $344 | 7 | 40 | -0.3% |
| Wyoming | $91 | $250 | 1 | 18 | -0.5% |
| Minnesota | $91 | $544 | 24 | 1,286 | -0.6% |
| Texas | $90 | $281 | 35 | 1,855 | -1.0% |
| Arizona | $89 | $517 | 10 | 791 | -2.3% |
| Pennsylvania | $89 | $230 | 10 | 132 | -2.5% |
| Illinois | $88 | $420 | 15 | 260 | -3.3% |
| North Carolina | $88 | $200 | 7 | 91 | -3.3% |
| Florida | $88 | $571 | 39 | 1,137 | -3.5% |
| Louisiana | $87 | $175 | 6 | 81 | -4.4% |
| Mississippi | $87 | $249 | 2 | 138 | -4.5% |
| Utah | $87 | $204 | 8 | 115 | -4.5% |
| South Carolina | $87 | $262 | 1 | 38 | -4.6% |
| Wisconsin | $87 | $698 | 6 | 145 | -4.6% |
| Ohio | $87 | $260 | 4 | 186 | -4.8% |
| Oklahoma | $86 | $230 | 1 | 195 | -6.1% |
| Tennessee | $85 | $187 | 9 | 182 | -6.3% |
| Missouri | $85 | $106 | 4 | 28 | -6.6% |
| Indiana | $85 | $251 | 9 | 290 | -6.7% |
| Kansas | $85 | $229 | 13 | 129 | -6.8% |
| Arkansas | $83 | $232 | 4 | 146 | -8.4% |
⚠️ 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