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Procedure price report · Diagnostic physical, occupational, and speech therapy

Evaluation and fitting of a voice prosthesis

CPT 92597the billing code this page is about

An assessment to select and fit a device that helps produce voice after loss of normal speech, such as after voice box surgery.

Hospitals typically charge $251 cash for this outpatient procedure — the median across 1,975 hospitals that filed a usable cash price; the average of the middle 60% is $264. Most fall between $127 and $445 (20th–80th percentile).

Hospitals
1,975
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 1,975 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
$87$148$251$408$596

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($87 vs $596).

How the prices are spread

$71 – $89: 118 hospitals$71$89 – $114: 122 hospitals$114 – $144: 135 hospitals$114$144 – $183: 199 hospitals$183 – $232: 221 hospitals$183$232 – $294: 275 hospitals$294 – $373: 224 hospitals$294$373 – $474: 255 hospitals$474 – $601: 136 hospitals$474$601 – $763: 96 hospitals$601median $251price bands are equal on a log scale
Hospitals per price band (1,781 of 1,975 — the bands cover the 5th to 95th percentile)
FromToHospitals
$71$89118
$89$114122
$114$144135
$144$183199
$183$232221
$232$294275
$294$373224
$373$474255
$474$601136
$601$76396

By state

The median cash price in each state, against the national median of $251.

Alaska: median $372 across 10 hospitalsAK$372Maine: median $136 across 16 hospitalsME$136Vermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $195 across 34 hospitalsWA$195Idaho: median $180 across 13 hospitalsID$180Montana: median $222 across 11 hospitalsMT$222North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $240 across 39 hospitalsMN$240Illinois: median $278 across 85 hospitalsIL$278Wisconsin: median $343 across 71 hospitalsWI$343Michigan: median $292 across 57 hospitalsMI$292New York: median $224 across 77 hospitalsNY$224Massachusetts: median $354 across 29 hospitalsMA$354Oregon: median $281 across 40 hospitalsOR$281Nevada: median $250 across 15 hospitalsNV$250Wyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $367 across 10 hospitalsSD$367Iowa: median $253 across 35 hospitalsIA$253Indiana: median $202 across 61 hospitalsIN$202Ohio: median $310 across 106 hospitalsOH$310Pennsylvania: median $260 across 85 hospitalsPA$260New Jersey: median $93 across 37 hospitalsNJ$93Connecticut: median $292 across 15 hospitalsCT$292Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $393 across 121 hospitalsCA$393Utah: median $476 across 28 hospitalsUT$476Colorado: median $244 across 43 hospitalsCO$244Nebraska: median $199 across 25 hospitalsNE$199Missouri: median $161 across 43 hospitalsMO$161Kentucky: median $240 across 35 hospitalsKY$240West Virginia: median $154 across 17 hospitalsWV$154Virginia: median $222 across 51 hospitalsVA$222Maryland: median $170 across 33 hospitalsMD$170Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $210 across 36 hospitalsAZ$210New Mexico: median $197 across 14 hospitalsNM$197Kansas: median $196 across 18 hospitalsKS$196Arkansas: median $147 across 12 hospitalsAR$147Tennessee: median $100 across 43 hospitalsTN$100North Carolina: median $212 across 72 hospitalsNC$212South Carolina: median $362 across 50 hospitalsSC$362Oklahoma: median $139 across 39 hospitalsOK$139Louisiana: median $117 across 34 hospitalsLA$117Mississippi: median $128 across 18 hospitalsMS$128Alabama: median $146 across 26 hospitalsAL$146Georgia: median $255 across 70 hospitalsGA$255Hawaii: median $170 across 15 hospitalsHI$170Texas: median $408 across 147 hospitalsTX$408Florida: median $349 across 103 hospitalsFL$349
Cash price by state, most expensive first. National median $251. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT28$476+89%$476 – $595
Texas TX147$408+62%$144 – $484
California CA121$393+56%$248 – $678
Alaska AK10$372+48%$302 – $747
South Dakota SD10$367+46%$309 – $415
South Carolina SC50$362+44%$205 – $464
Massachusetts MA29$354+41%$202 – $451
Florida FL103$349+39%$149 – $710
Wisconsin WI71$343+36%$218 – $378
Ohio OH106$310+23%$146 – $413
Connecticut CT15$292+16%$235 – $369
Michigan MI57$292+16%$171 – $420
Oregon OR40$281+12%$201 – $421
Illinois IL85$278+11%$131 – $447
Pennsylvania PA85$260+3%$84 – $719
Georgia GA70$255+1%$148 – $456
Iowa IA35$253+1%$155 – $328
Nevada NV15$250−1%$130 – $335
Colorado CO43$244−3%$125 – $377
Kentucky KY35$240−4%$165 – $839
Minnesota MN39$240−4%$192 – $329
New York NY77$224−11%$96 – $516
Montana MT11$222−12%$154 – $308
Virginia VA51$222−12%$170 – $387
North Carolina NC72$212−16%$92 – $370
Arizona AZ36$210−16%$96 – $763
Indiana IN61$202−20%$131 – $278
Nebraska NE25$199−21%$139 – $271
New Mexico NM14$197−22%$95 – $311
Kansas KS18$196−22%$67 – $705
Washington WA34$195−23%$170 – $422
Idaho ID13$180−28%$165 – $248
Maryland MD33$170−32%$122 – $223
Hawaii HI15$170−33%$79 – $422
Missouri MO43$161−36%$106 – $275
West Virginia WV17$154−39%$97 – $215
Arkansas AR12$147−42%$59 – $268
Alabama AL26$146−42%$92 – $251
Oklahoma OK39$139−45%$60 – $277
Maine ME16$136−46%$68 – $548
Mississippi MS18$128−49%$71 – $191
Louisiana LA34$117−54%$66 – $199
Tennessee TN43$100−60%$60 – $347
New Jersey NJ37$93−63%$87 – $319
North Dakota ND7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Vermont VT4not 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 $251.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,623$249$117 – $449
Children’s47$328$181 – $607
Critical access299$268$158 – $403
Ownership
For-profit233$329$137 – $657
Government276$208$116 – $376
Non-profit1,460$253$127 – $439
System affiliation
Part of a system1,700$265$128 – $449
Independent275$221$126 – $380

Cash price vs list price

Median list price (chargemaster)$456
Median cash price$251
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

1,460 hospitals filed a usable inpatient cash price for this code. The median is $265 and the average of the middle 60% is $274; most fall between $139 and $445.

Cash price percentiles, inpatient, across 1,460 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
$95$158$265$412$595

The most expensive tenth of hospitals charges at least 6.3× what the cheapest tenth charges ($95 vs $595).

Of the 1,547 hospitals that filed this code inpatient, 1,460 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 66 a list price only.

How complete is this

1,975 of the 3,956 hospitals with a price file in our corpus (50%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,087 hospitals that filed this code at all gave us
Usable cash price — counted1,975
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
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 — excluded81
Hospitals that filed this code2,087

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Diagnostic physical, occupational, and speech therapy family.

Hospitals file this code under descriptions such as Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec.

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, “Evaluation and fitting of a voice prosthesis (CPT 92597) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92597-evaluation-and-fitting-of-a-voice-prosthesis