92653

Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report

Medicare pricing data for 1,842 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

Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report (HCPCS code 92653) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $86.40, but hospitals typically charge $257.11 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$17.28

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $86.40, your out-of-pocket cost would be approximately $17.28. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$86.40
Average Hospital Charge
$257.11
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$257.11
Medicare Allowed$86.40
Medicare Payment$67.55

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $67.55 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$105$535219+21.1%
New York$98$2851503,560+13.1%
District of Columbia$95$265599+9.5%
New Jersey$94$23241579+8.3%
California$93$3461272,077+7.5%
Connecticut$90$40931245+4.5%
Massachusetts$90$27528115+4.3%
Maryland$90$23095631+3.7%
Hawaii$89$118261+3.4%
Washington$87$29035268+1.2%
Colorado$87$33729209+0.3%
New Hampshire$86$184490-0.8%
Oregon$85$2641434-1.3%
Pennsylvania$85$31253505-1.6%
Puerto Rico$84$9025117-2.7%
Nevada$84$27825451-2.8%
Virginia$84$23572867-3.2%
Florida$84$1922643,811-3.2%
Missouri$83$1771038-3.4%
Illinois$83$27051307-3.6%
Minnesota$83$47721197-3.6%
Texas$82$2101442,326-5.3%
Arizona$82$23554790-5.5%
Ohio$82$27736196-5.6%
Michigan$81$33871685-6.0%
Wisconsin$81$549828-6.0%
Utah$81$33313208-6.6%
Georgia$80$26888525-7.5%
New Mexico$80$180416-7.5%
North Carolina$80$27156430-7.9%
South Carolina$79$26638402-8.0%
Indiana$79$3096123-8.4%
Kentucky$79$191930-8.5%
Tennessee$78$24354479-9.2%
Louisiana$78$22229270-9.5%
Idaho$78$180321-9.6%
Kansas$78$608321-9.8%
West Virginia$78$1477126-10.0%
Delaware$77$220213-10.6%
Oklahoma$77$16318126-10.7%
Nebraska$77$231836-10.8%
Alabama$76$15434343-12.0%
Arkansas$74$197563-13.9%
Mississippi$74$20615131-14.0%

⚠️ 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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