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Procedure price report · Ophthalmologic and otologic diagnosis and treatment

Complete hearing test with tones and speech

CPT 92557the billing code this page is about

A full hearing evaluation combining tone testing by headphone and bone vibrator with speech threshold and word recognition testing.

Hospitals typically charge $186 cash for this outpatient procedure — the median across 1,183 hospitals that filed a usable cash price; the average of the middle 60% is $205. Most fall between $93 and $361 (20th–80th percentile).

Hospitals
1,183
States
50
Filings dated
Jan 2024 – 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 1,183 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
$56$113$186$335$522

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($56 vs $522).

How the prices are spread

$37 – $49: 34 hospitals$37$49 – $66: 58 hospitals$66 – $88: 69 hospitals$66$88 – $118: 92 hospitals$118 – $159: 185 hospitals$118$159 – $213: 170 hospitals$213 – $286: 146 hospitals$213$286 – $383: 155 hospitals$383 – $514: 92 hospitals$383$514 – $690: 67 hospitals$514median $186price bands are equal on a log scale
Hospitals per price band (1,068 of 1,183 — the bands cover the 5th to 95th percentile)
FromToHospitals
$37$4934
$49$6658
$66$8869
$88$11892
$118$159185
$159$213170
$213$286146
$286$383155
$383$51492
$514$69067

Against Medicare

Medicare pays (OPPS 2026, national rate)$131
Median cash price$186
Cash as a multiple of Medicare1.41×

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 $186.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $354 across 19 hospitalsWA$354Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $184 across 36 hospitalsMN$184Illinois: median $156 across 60 hospitalsIL$156Wisconsin: median $156 across 52 hospitalsWI$156Michigan: median $177 across 53 hospitalsMI$177New York: median $176 across 69 hospitalsNY$176Massachusetts: median $451 across 22 hospitalsMA$451Oregon: median $99 across 26 hospitalsOR$99Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $87 across 32 hospitalsIA$87Indiana: median $171 across 53 hospitalsIN$171Ohio: median $262 across 66 hospitalsOH$262Pennsylvania: median $186 across 56 hospitalsPA$186New Jersey: median $173 across 40 hospitalsNJ$173Connecticut: median $248 across 10 hospitalsCT$248Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $512 across 73 hospitalsCA$512Utah: median $361 across 13 hospitalsUT$361Colorado: median $200 across 23 hospitalsCO$200Nebraska: median $97 across 21 hospitalsNE$97Missouri: median $131 across 26 hospitalsMO$131Kentucky: median $74 across 12 hospitalsKY$74West Virginia: median $101 across 21 hospitalsWV$101Virginia: median $268 across 25 hospitalsVA$268Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $563 across 17 hospitalsAZ$563New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $121 across 15 hospitalsKS$121Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $111 across 15 hospitalsTN$111North Carolina: median $203 across 35 hospitalsNC$203South Carolina: median $273 across 12 hospitalsSC$273Oklahoma: median $59 across 13 hospitalsOK$59Louisiana: median $104 across 23 hospitalsLA$104Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $121 across 11 hospitalsAL$121Georgia: median $394 across 32 hospitalsGA$394Hawaii: median $104 across 11 hospitalsHI$104Texas: median $300 across 51 hospitalsTX$300Florida: median $286 across 40 hospitalsFL$286
Cash price by state, most expensive first. National median $186. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ17$563+203%$122 – $690
California CA73$512+176%$164 – $731
Massachusetts MA22$451+143%$250 – $673
Georgia GA32$394+113%$133 – $803
Utah UT13$361+94%$289 – $361
Washington WA19$354+91%$80 – $358
Texas TX51$300+62%$127 – $332
Florida FL40$286+54%$148 – $375
South Carolina SC12$273+47%$43 – $329
Virginia VA25$268+44%$138 – $354
Ohio OH66$262+41%$168 – $407
Connecticut CT10$248+34%$168 – $293
North Carolina NC35$203+10%$128 – $220
Colorado CO23$200+8%$188 – $522
Pennsylvania PA56$1860%$121 – $360
Minnesota MN36$184−1%$146 – $261
Michigan MI53$177−5%$83 – $303
New York NY69$176−5%$121 – $357
New Jersey NJ40$173−7%$146 – $511
Indiana IN53$171−8%$96 – $308
Illinois IL60$156−16%$63 – $257
Wisconsin WI52$156−16%$49 – $232
Missouri MO26$131−30%$107 – $224
Alabama AL11$121−35%$58 – $232
Kansas KS15$121−35%$50 – $262
Tennessee TN15$111−40%$44 – $161
Hawaii HI11$104−44%$40 – $370
Louisiana LA23$104−44%$56 – $261
West Virginia WV21$101−46%$46 – $210
Oregon OR26$99−47%$66 – $298
Nebraska NE21$97−48%$81 – $157
Iowa IA32$87−53%$83 – $162
Kentucky KY12$74−60%$35 – $156
Oklahoma OK13$59−68%$59 – $274
Idaho ID9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Delaware DE1not 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 $186.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care907$185$97 – $361
Children’s62$397$186 – $702
Critical access209$156$67 – $285
Ownership
For-profit77$191$68 – $422
Government171$176$83 – $286
Non-profit930$188$97 – $361
System affiliation
Part of a system988$188$96 – $361
Independent195$166$83 – $358

Cash price vs list price

Median list price (chargemaster)$364
Median cash price$186
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

823 hospitals filed a usable inpatient cash price for this code. The median is $210 and the average of the middle 60% is $226; most fall between $97 and $394.

Cash price percentiles, inpatient, across 823 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
$59$118$210$360$549

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($59 vs $549).

Of the 867 hospitals that filed this code inpatient, 823 gave a usable cash price; 17 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 26 a list price only.

How complete is this

1,183 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,246 hospitals that filed this code at all gave us
Usable cash price — counted1,183
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded35
Hospitals that filed this code1,246

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 Compre Audiometry Threshold Eval Sp Recognij.

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, “Complete hearing test with tones and speech (CPT 92557) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92557-complete-hearing-test-with-tones-and-speech