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Procedure price report · Ophthalmologic and otologic diagnosis and treatment

Full middle ear test with reflex and reflex decay

CPT 92570the billing code this page is about

A combined middle-ear assessment that includes eardrum movement testing, the softest sound that triggers the ear muscle reflex, and whether that reflex fades during a sustained sound.

Hospitals typically charge $153 cash for this outpatient procedure — the median across 768 hospitals that filed a usable cash price; the average of the middle 60% is $165. Most fall between $74 and $294 (20th–80th percentile).

Hospitals
768
States
50
Filings dated
Jun 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 768 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
$45$98$153$251$404

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($45 vs $404).

How the prices are spread

$31 – $42: 32 hospitals$31$42 – $57: 40 hospitals$57 – $78: 57 hospitals$57$78 – $106: 49 hospitals$106 – $144: 139 hospitals$106$144 – $196: 142 hospitals$196 – $266: 91 hospitals$196$266 – $361: 91 hospitals$361 – $491: 36 hospitals$361$491 – $667: 16 hospitals$491median $153price bands are equal on a log scale
Hospitals per price band (693 of 768 — the bands cover the 5th to 95th percentile)
FromToHospitals
$31$4232
$42$5740
$57$7857
$78$10649
$106$144139
$144$196142
$196$26691
$266$36191
$361$49136
$491$66716

Against Medicare

Medicare pays (OPPS 2026, national rate)$131
Median cash price$153
Cash as a multiple of Medicare1.17×

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 $153.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $153 across 17 hospitalsWA$153Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $158 across 27 hospitalsMN$158Illinois: median $230 across 43 hospitalsIL$230Wisconsin: median $124 across 26 hospitalsWI$124Michigan: median $138 across 26 hospitalsMI$138New York: median $185 across 38 hospitalsNY$185Massachusetts: median $227 across 14 hospitalsMA$227Oregon: median $359 across 12 hospitalsOR$359Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $74 across 16 hospitalsIA$74Indiana: median $100 across 48 hospitalsIN$100Ohio: median $176 across 42 hospitalsOH$176Pennsylvania: median $152 across 38 hospitalsPA$152New Jersey: median $184 across 34 hospitalsNJ$184Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $168 across 60 hospitalsCA$168Utah: 7 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $292 across 11 hospitalsCO$292Nebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $119 across 14 hospitalsMO$119Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $303 across 16 hospitalsAZ$303New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $97 across 10 hospitalsKS$97Arkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $39 across 13 hospitalsTN$39North Carolina: median $128 across 21 hospitalsNC$128South Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $52 across 13 hospitalsOK$52Louisiana: median $80 across 15 hospitalsLA$80Mississippi: 7 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $313 across 26 hospitalsGA$313Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $222 across 37 hospitalsTX$222Florida: median $251 across 33 hospitalsFL$251
Cash price by state, most expensive first. National median $153. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Oregon OR12$359+134%$328 – $359
Georgia GA26$313+104%$313 – $482
Arizona AZ16$303+98%$119 – $720
Colorado CO11$292+91%$151 – $424
Florida FL33$251+64%$148 – $410
Illinois IL43$230+50%$61 – $306
Massachusetts MA14$227+48%$187 – $424
Texas TX37$222+45%$105 – $231
New York NY38$185+21%$131 – $371
New Jersey NJ34$184+20%$166 – $359
Ohio OH42$176+15%$142 – $406
California CA60$168+10%$122 – $341
Minnesota MN27$158+3%$46 – $167
Washington WA17$1530%$153 – $274
Pennsylvania PA38$152−1%$21 – $183
Michigan MI26$138−10%$122 – $144
North Carolina NC21$128−17%$57 – $171
Wisconsin WI26$124−19%$124 – $173
Missouri MO14$119−22%$59 – $262
Indiana IN48$100−35%$39 – $137
Kansas KS10$97−37%$59 – $122
Louisiana LA15$80−48%$45 – $143
Iowa IA16$74−51%$74 – $74
Oklahoma OK13$52−66%$52 – $106
Tennessee TN13$39−75%$15 – $113
Virginia VA9not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Mississippi MS7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Utah UT7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not 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 $153.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care621$154$74 – $294
Children’s45$235$115 – $702
Critical access99$137$74 – $231
Ownership
For-profit54$142$60 – $404
Government100$148$67 – $232
Non-profit611$155$74 – $294
System affiliation
Part of a system653$152$74 – $294
Independent115$178$84 – $308

Cash price vs list price

Median list price (chargemaster)$277
Median cash price$153
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

526 hospitals filed a usable inpatient cash price for this code. The median is $154 and the average of the middle 60% is $169; most fall between $74 and $308.

Cash price percentiles, inpatient, across 526 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
$44$99$154$282$424

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($44 vs $424).

Of the 554 hospitals that filed this code inpatient, 526 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

768 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 806 hospitals that filed this code at all gave us
Usable cash price — counted768
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 — excluded16
Hospitals that filed this code806

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 Acoustic Immit Test Tympanom/Acoust Reflx/Decay.

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, “Full middle ear test with reflex and reflex decay (CPT 92570) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92570-full-middle-ear-test-with-reflex-and-reflex-decay