New York · 98927

Osteopathic Manipulative Treatment, 5-6 Body Regions in New York

Osteopathic Manipulative Treatment, 5-6 Body Regions in New York · the short answer

Medicare pays $50.30 on average for osteopathic manipulative treatment, 5-6 body regions in New York, 16% above the $43.50 national average across all states.

$50.30
NY Medicare avg
$43.50
National Medicare avg
16% above
vs. national average

State and national averages are computed directly from CMS Medicare Physician & Other Practitioners claims data, 2023.

New York Medicare Avg
$50.30
16% above national avg
National Medicare Avg
$43.50
All states combined
Billed Charge (NY)
$130.82
What providers submit
Est. Commercial (NY)
$161.38
National avg: $123.33
Est. Cash / Self-Pay (NY)
$84.39
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

11.4K
Services in NY
166
Providers
$130.82
Avg Billed
$50.30
Medicare Avg

Top Providers in New York

Provider Medicare Services
Migirov, Alexey DO MD $52.18 1.6K
Golberg, Alexander D.O. $52.43 1.2K
Korogluyev, Mikhail M.D.,D.O. $50.88 1.2K
Kahn, Judith MD $49.24 632
Lehman, Joshua DO $46.44 232
Riskevich, Michael D.O $52.02 194
Bernshteyn, Mikhail MD $49.47 103
Bonsignore, Christopher $49.89 103
Rizzo, Anthony DO $52.24 69
Digiovanna, Michael D.O. $50.82 67
Spain, Brett D.O. $47.48 62
Rivera, Kristin D.O. $44.15 41

New York Pricing in Context

In New York, CPT code 98927 (Osteopathic Manipulative Treatment, 5-6 Body Regions) carries an average Medicare payment of $50.30 - 16% above the national benchmark of $43.50. 166 providers across the state submitted claims for this procedure in 2023, performing 11.4K total services. Payment ranges by individual claim are not published in this CMS extract; the state average above is the figure to compare against the national benchmark.

The average billed charge in New York is $130.82, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount, the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because New York sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Medicine procedures, the estimated commercial insurance price in New York lands near $161.38, with self-pay cash prices typically around $84.39. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Osteopathic Manipulative Treatment, 5-6 Body Regions cost in New York?

The average Medicare payment for Osteopathic Manipulative Treatment, 5-6 Body Regions in New York is $50.30, which is 16% above the national average of $43.50. Providers in NY typically bill $130.82 for this procedure.

What does Osteopathic Manipulative Treatment, 5-6 Body Regions cost with insurance in New York?

With commercial insurance in New York, Osteopathic Manipulative Treatment, 5-6 Body Regions costs an estimated $161.38. Without insurance, the estimated cash price is $84.39. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Osteopathic Manipulative Treatment, 5-6 Body Regions in New York?

166 providers in New York billed Medicare for Osteopathic Manipulative Treatment, 5-6 Body Regions in 2023, performing 11.4K total services. The state Medicare average for this code is $50.30.

Is Osteopathic Manipulative Treatment, 5-6 Body Regions cheaper in New York than the national average?

No - Osteopathic Manipulative Treatment, 5-6 Body Regions costs 16% above the national average in New York. The state average Medicare payment is $50.30 compared to $43.50 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.