98928

Osteopathic manipulative treatment, 7-8 body regions

Medicare pricing data for 1,977 providers across 48 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

Osteopathic manipulative treatment, 7-8 body regions (HCPCS code 98928) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $70.89, but hospitals typically charge $146.16 — a 2.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$14.18

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $70.89, your out-of-pocket cost would be approximately $14.18. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$70.89
Average Hospital Charge
$146.16
Markup Ratio
2.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$146.16
Medicare Allowed$70.89
Medicare Payment$54.21

Hospitals charge 2.1x more than what Medicare allows for this procedure. Medicare actually pays $54.21 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$88$30721401+24.3%
New York$79$16311110,876+11.0%
California$77$13516411,490+9.0%
New Jersey$77$257571,497+8.3%
Maryland$76$1227144+6.7%
Connecticut$75$12015268+5.5%
Hawaii$74$13112455+3.8%
West Virginia$72$1576261+2.2%
Rhode Island$72$22210290+1.5%
Massachusetts$71$211542,063+0.1%
Nevada$71$152131,389-0.2%
Florida$71$140987,072-0.2%
District of Columbia$71$1172120-0.3%
Georgia$70$16212136-0.6%
North Dakota$70$2072134-0.6%
Illinois$70$14243977-1.1%
Colorado$70$147811,856-1.3%
Virginia$70$100303,476-1.5%
Vermont$70$1266780-1.8%
Washington$69$156922,099-2.3%
Kansas$69$1649370-3.2%
Oregon$69$168702,434-3.2%
Wyoming$69$1503172-3.3%
New Mexico$68$16974,144-3.6%
Pennsylvania$68$151621,417-3.6%
Michigan$68$1181826,054-3.8%
Arizona$68$126591,675-4.0%
Utah$68$14312196-4.5%
New Hampshire$67$16522846-4.9%
South Carolina$67$112985-4.9%
Indiana$67$17330362-5.2%
Iowa$67$178361,526-5.3%
Minnesota$67$21531397-5.5%
Texas$67$102635,193-5.6%
Nebraska$67$157440-6.0%
Alabama$66$208298-6.5%
Tennessee$66$12518577-6.7%
Montana$66$105141,493-6.9%
Missouri$66$114502,625-7.5%
Oklahoma$65$13055604-7.9%
Wisconsin$65$27064565-7.9%
Maine$65$1421266,408-8.4%
North Carolina$65$19230329-8.5%
Arkansas$64$123457-9.8%
Idaho$64$2166147-10.4%
Ohio$63$161971,642-10.7%
Kentucky$62$13921332-13.1%
Delaware$61$136987-13.6%

⚠️ 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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