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Procedure price report · Ophthalmologic and otologic diagnosis and treatment

Cochlear implant reprogramming, age 7 and older

CPT 92604the billing code this page is about

A follow-up visit for a person age 7 or older in which an existing cochlear implant is re-evaluated and its settings are reprogrammed.

Hospitals typically charge $220 cash for this outpatient procedure — the median across 550 hospitals that filed a usable cash price; the average of the middle 60% is $246. Most fall between $130 and $399 (20th–80th percentile).

Hospitals
550
States
49
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 550 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$152$220$377$447

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($87 vs $447).

How the prices are spread

$55 – $70: 7 hospitals$55$70 – $88: 22 hospitals$88 – $111: 26 hospitals$88$111 – $141: 42 hospitals$141 – $178: 79 hospitals$141$178 – $226: 76 hospitals$226 – $286: 44 hospitals$226$286 – $362: 79 hospitals$362 – $458: 102 hospitals$362$458 – $580: 19 hospitals$458median $220price bands are equal on a log scale
Hospitals per price band (496 of 550 — the bands cover the 5th to 95th percentile)
FromToHospitals
$55$707
$70$8822
$88$11126
$111$14142
$141$17879
$178$22676
$226$28644
$286$36279
$362$458102
$458$58019

Against Medicare

Medicare pays (OPPS 2026, national rate)$131
Median cash price$220
Cash as a multiple of Medicare1.67×

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 $220.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $299 across 18 hospitalsMN$299Illinois: median $206 across 24 hospitalsIL$206Wisconsin: median $172 across 36 hospitalsWI$172Michigan: median $206 across 28 hospitalsMI$206New York: median $278 across 40 hospitalsNY$278Massachusetts: median $469 across 13 hospitalsMA$469Oregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $206 across 15 hospitalsIA$206Indiana: median $301 across 20 hospitalsIN$301Ohio: median $329 across 24 hospitalsOH$329Pennsylvania: median $152 across 28 hospitalsPA$152New Jersey: median $173 across 22 hospitalsNJ$173Connecticut: 6 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 $420 across 39 hospitalsCA$420Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $234 across 10 hospitalsVA$234Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $120 across 10 hospitalsTN$120North Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $130 across 13 hospitalsOK$130Louisiana: median $90 across 13 hospitalsLA$90Mississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $244 across 18 hospitalsGA$244Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $399 across 27 hospitalsTX$399Florida: median $245 across 25 hospitalsFL$245
Cash price by state, most expensive first. National median $220. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA13$469+114%$330 – $528
California CA39$420+91%$325 – $420
Texas TX27$399+82%$187 – $426
Ohio OH24$329+50%$272 – $383
Indiana IN20$301+37%$251 – $382
Minnesota MN18$299+36%$196 – $392
New York NY40$278+27%$185 – $338
Florida FL25$245+12%$89 – $324
Georgia GA18$244+11%$109 – $349
Virginia VA10$234+7%$87 – $234
Iowa IA15$206−6%$206 – $206
Illinois IL24$206−6%$88 – $375
Michigan MI28$206−6%$158 – $453
New Jersey NJ22$173−21%$166 – $209
Wisconsin WI36$172−22%$118 – $293
Pennsylvania PA28$152−31%$43 – $277
Oklahoma OK13$130−41%$130 – $247
Tennessee TN10$120−45%$55 – $168
Louisiana LA13$90−59%$56 – $175
Missouri MO9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
South Dakota SD6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
North Dakota ND3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Rhode Island RI1not 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 $220.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care444$206$123 – $392
Children’s43$313$194 – $622
Critical access62$240$122 – $392
Ownership
For-profit39$240$109 – $383
Government72$185$112 – $349
Non-profit438$234$130 – $405
System affiliation
Part of a system472$216$130 – $399
Independent78$226$128 – $411

Cash price vs list price

Median list price (chargemaster)$424
Median cash price$220
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

390 hospitals filed a usable inpatient cash price for this code. The median is $245 and the average of the middle 60% is $268; most fall between $127 and $420.

Cash price percentiles, inpatient, across 390 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
$90$151$245$399$453

The most expensive tenth of hospitals charges at least 5.0× what the cheapest tenth charges ($90 vs $453).

Of the 408 hospitals that filed this code inpatient, 390 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

550 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 568 hospitals that filed this code at all gave us
Usable cash price — counted550
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
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 — excluded8
Hospitals that filed this code568

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 Analysis Cochlear Implt 7 Yr/> Sbsq Reprgrmg.

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, “Cochlear implant reprogramming, age 7 and older (CPT 92604) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92604-cochlear-implant-reprogramming-age-7-and-older