HRHospitalRates.comCompare prices

Procedure price report · Diagnostic procedures on ear

Auditory brainstem implant checkup and programming, per hour

CPT 92640the billing code this page is about

Testing and reprogramming of an implanted auditory brainstem device to adjust its sound settings; this code is billed for each hour of the service.

Hospitals typically charge $204 cash for this outpatient procedure — the median across 189 hospitals that filed a usable cash price; the average of the middle 60% is $236. Most fall between $132 and $372 (20th–80th percentile).

Hospitals
189
States
32
Filings dated
Dec 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 189 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
$101$154$204$344$459

The most expensive tenth of hospitals charges at least 4.6× what the cheapest tenth charges ($101 vs $459).

How the prices are spread

$65 – $80: 6 hospitals$65$80 – $97: 3 hospitals$97 – $117: 8 hospitals$97$117 – $143: 15 hospitals$143 – $173: 21 hospitals$143$173 – $211: 34 hospitals$211 – $256: 24 hospitals$211$256 – $311: 5 hospitals$311 – $378: 29 hospitals$311$378 – $459: 28 hospitals$378median $204price bands are equal on a log scale
Hospitals per price band (173 of 189 — the bands cover the 5th to 95th percentile)
FromToHospitals
$65$806
$80$973
$97$1178
$117$14315
$143$17321
$173$21134
$211$25624
$256$3115
$311$37829
$378$45928

Against Medicare

Medicare pays (OPPS 2026, national rate)$131
Median cash price$204
Cash as a multiple of Medicare1.55×

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 $204.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 2 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $185 across 18 hospitalsNY$185Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: no hospital in the corpus filed a usable priceORNevada: 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: no hospital in the corpus filed a usable priceSDIowa: median $255 across 14 hospitalsIA$255Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $372 across 18 hospitalsOH$372Pennsylvania: median $63 across 13 hospitalsPA$63New Jersey: median $173 across 11 hospitalsNJ$173Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $459 across 36 hospitalsCA$459Utah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $183 across 12 hospitalsOK$183Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $204. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA36$459+126%$344 – $459
Ohio OH18$372+83%$197 – $447
Iowa IA14$255+25%$249 – $255
New York NY18$185−9%$153 – $185
Oklahoma OK12$183−10%$183 – $183
New Jersey NJ11$173−15%$171 – $184
Pennsylvania PA13$63−69%$57 – $160
Illinois IL8not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wisconsin WI2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Nevada NV1not 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 $204.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care175$203$132 – $372
Children’s6fewer than 20 hospitals
Critical access7fewer than 20 hospitals
Ownership
For-profit17fewer than 20 hospitals
Government22$185$132 – $315
Non-profit149$221$132 – $447
System affiliation
Part of a system163$197$132 – $389
Independent26$205$132 – $337

Cash price vs list price

Median list price (chargemaster)$369
Median cash price$204
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

114 hospitals filed a usable inpatient cash price for this code. The median is $255 and the average of the middle 60% is $316; most fall between $160 and $459.

Cash price percentiles, inpatient, across 114 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
$124$183$255$372$459

The most expensive tenth of hospitals charges at least 3.7× what the cheapest tenth charges ($124 vs $459).

Of the 126 hospitals that filed this code inpatient, 114 gave a usable cash price; 6 carried a plausibility flag, 1 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

189 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 200 hospitals that filed this code at all gave us
Usable cash price — counted189
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 code200

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 Diagnostic procedures on ear family.

Hospitals file this code under descriptions such as PR Analysis W/Prgrmg Aud Brainstem Implant PR Hr.

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, “Auditory brainstem implant checkup and programming, per hour (CPT 92640) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-92640-auditory-brainstem-implant-checkup-and-programming-per-hour