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Procedure price report · Ophthalmologic and otologic diagnosis and treatment

Eye muscle balance-nerve response test (ocular)

CPT 92518the billing code this page is about

Records muscle responses around the eyes to sound or vibration to check the balance organs of the inner ear, including review and a written report.

Hospitals typically charge $188 cash for this outpatient procedure — the median across 387 hospitals that filed a usable cash price; the average of the middle 60% is $233. Most fall between $105 and $425 (20th–80th percentile).

Hospitals
387
States
47
Filings dated
Apr 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 387 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$64$137$188$386$481

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($64 vs $481).

How the prices are spread

$35 – $47: 6 hospitals$35$47 – $62: 11 hospitals$62 – $83: 18 hospitals$62$83 – $111: 28 hospitals$111 – $149: 25 hospitals$111$149 – $199: 97 hospitals$199 – $265: 28 hospitals$199$265 – $354: 49 hospitals$354 – $473: 65 hospitals$354$473 – $632: 29 hospitals$473median $188price bands are equal on a log scale
Hospitals per price band (356 of 387 — the bands cover the 5th to 95th percentile)
FromToHospitals
$35$476
$47$6211
$62$8318
$83$11128
$111$14925
$149$19997
$199$26528
$265$35449
$354$47365
$473$63229

Against Medicare

Medicare pays (OPPS 2026, national rate)$131
Median cash price$188
Cash as a multiple of Medicare1.43×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $188.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 5 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $386 across 11 hospitalsMN$386Illinois: median $353 across 12 hospitalsIL$353Wisconsin: 5 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $87 across 17 hospitalsMI$87New York: median $185 across 22 hospitalsNY$185Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $29 across 16 hospitalsIN$29Ohio: median $632 across 15 hospitalsOH$632Pennsylvania: median $152 across 30 hospitalsPA$152New Jersey: median $173 across 18 hospitalsNJ$173Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $448 across 42 hospitalsCA$448Utah: no hospital in the corpus filed a usable priceUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $313 across 10 hospitalsVA$313Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $155 across 13 hospitalsOK$155Louisiana: median $86 across 10 hospitalsLA$86Mississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $167 across 39 hospitalsTX$167Florida: median $324 across 17 hospitalsFL$324
Cash price by state, most expensive first. National median $188. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH15$632+236%$267 – $632
California CA42$448+138%$344 – $448
Minnesota MN11$386+105%$329 – $386
Illinois IL12$353+87%$137 – $473
Florida FL17$324+72%$208 – $456
Virginia VA10$313+66%$179 – $313
New York NY22$185−2%$153 – $185
New Jersey NJ18$173−8%$65 – $184
Texas TX39$167−11%$167 – $167
Oklahoma OK13$155−17%$155 – $319
Pennsylvania PA30$152−19%$27 – $448
Michigan MI17$87−54%$87 – $177
Louisiana LA10$86−54%$56 – $138
Indiana IN16$29−85%$26 – $101
Oregon OR9not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Wisconsin WI5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $188.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care334$185$109 – $448
Children’s19fewer than 20 hospitals
Critical access33$178$47 – $414
Ownership
For-profit25$167$138 – $414
Government42$185$137 – $306
Non-profit319$192$94 – $448
System affiliation
Part of a system344$188$102 – $448
Independent43$182$118 – $371

Cash price vs list price

Median list price (chargemaster)$414
Median cash price$188
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

262 hospitals filed a usable inpatient cash price for this code. The median is $267 and the average of the middle 60% is $285; most fall between $153 and $452.

Cash price percentiles, inpatient, across 262 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$102$161$267$448$540

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($102 vs $540).

Of the 275 hospitals that filed this code inpatient, 262 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

387 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 398 hospitals that filed this code at all gave us
Usable cash price — counted387
Cash price carrying a plausibility flag — shown on the compare tool, excluded here7
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded4
Hospitals that filed this code398

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Ophthalmologic and otologic diagnosis and treatment family.

Hospitals file this code under descriptions such as Ocular Vemp Testing W/I&R.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Eye muscle balance-nerve response test (ocular) (CPT 92518) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92518-eye-muscle-balance-nerve-response-test-ocular