Chiropractic manipulative treatment, 5 spinal regions
Medicare pricing data for 6,701 providers across 51 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
Chiropractic manipulative treatment, 5 spinal regions (HCPCS code 98942) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $51.07, but hospitals typically charge $72.25 — a 1.4x 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 $51.07, your out-of-pocket cost would be approximately $10.21. 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 1.4x more than what Medicare allows for this procedure. Medicare actually pays $37.12 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $68 | $115 | 30 | 3,295 | +32.6% |
| California | $55 | $80 | 600 | 159,530 | +7.5% |
| New Jersey | $54 | $75 | 438 | 78,207 | +6.5% |
| Massachusetts | $53 | $78 | 149 | 15,870 | +4.4% |
| Maryland | $52 | $65 | 74 | 13,091 | +2.7% |
| New York | $52 | $65 | 128 | 18,326 | +2.0% |
| Montana | $52 | $77 | 44 | 4,051 | +1.2% |
| Washington | $52 | $79 | 258 | 26,999 | +1.0% |
| Colorado | $51 | $67 | 74 | 9,280 | +0.5% |
| Delaware | $51 | $87 | 46 | 5,690 | +0.4% |
| Rhode Island | $51 | $74 | 15 | 2,865 | +0.2% |
| North Dakota | $51 | $98 | 7 | 429 | -0.3% |
| Wyoming | $51 | $89 | 14 | 775 | -0.5% |
| Hawaii | $51 | $74 | 17 | 3,137 | -0.6% |
| Nevada | $51 | $73 | 30 | 5,095 | -0.8% |
| South Dakota | $51 | $68 | 79 | 3,168 | -1.1% |
| Vermont | $51 | $65 | 42 | 5,512 | -1.1% |
| Virginia | $50 | $64 | 142 | 32,151 | -1.3% |
| Pennsylvania | $50 | $67 | 330 | 41,651 | -1.6% |
| Puerto Rico | $50 | $52 | 90 | 5,133 | -1.7% |
| Arizona | $50 | $77 | 152 | 33,376 | -1.9% |
| Florida | $50 | $81 | 342 | 45,507 | -2.0% |
| New Hampshire | $50 | $62 | 50 | 8,443 | -2.0% |
| Minnesota | $50 | $66 | 93 | 3,581 | -2.2% |
| Georgia | $50 | $75 | 143 | 17,725 | -2.3% |
| Michigan | $50 | $71 | 740 | 71,464 | -2.5% |
| Oregon | $50 | $89 | 81 | 4,132 | -2.8% |
| Connecticut | $49 | $60 | 22 | 3,484 | -3.2% |
| Texas | $49 | $70 | 449 | 68,929 | -3.2% |
| Utah | $49 | $80 | 53 | 7,748 | -3.3% |
| Maine | $49 | $70 | 34 | 2,845 | -3.3% |
| Wisconsin | $49 | $82 | 167 | 7,611 | -3.9% |
| Ohio | $49 | $72 | 153 | 21,491 | -4.0% |
| Illinois | $49 | $65 | 187 | 18,421 | -4.4% |
| Iowa | $49 | $61 | 136 | 9,719 | -4.4% |
| Idaho | $49 | $65 | 81 | 11,488 | -4.5% |
| Missouri | $49 | $58 | 123 | 12,857 | -4.5% |
| Kentucky | $49 | $72 | 28 | 1,237 | -4.7% |
| South Carolina | $49 | $63 | 138 | 14,701 | -4.8% |
| Nebraska | $48 | $67 | 98 | 7,095 | -5.1% |
| New Mexico | $48 | $70 | 48 | 12,964 | -5.2% |
| Oklahoma | $48 | $61 | 46 | 8,649 | -5.4% |
| Kansas | $48 | $66 | 131 | 12,904 | -5.6% |
| Arkansas | $48 | $73 | 87 | 18,704 | -5.7% |
| Tennessee | $48 | $68 | 95 | 12,666 | -6.1% |
| North Carolina | $48 | $62 | 153 | 13,498 | -7.0% |
| Louisiana | $47 | $59 | 38 | 1,879 | -7.1% |
| Alabama | $47 | $57 | 105 | 18,906 | -7.8% |
| Mississippi | $47 | $70 | 24 | 1,739 | -7.9% |
| West Virginia | $47 | $58 | 20 | 3,030 | -8.1% |
| Indiana | $46 | $55 | 62 | 6,742 | -9.7% |
⚠️ 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