Evaluation of hearing function related to surgically implanted hearing device, first hour
Medicare pricing data for 1,556 providers across 50 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Evaluation of hearing function related to surgically implanted hearing device, first hour (HCPCS code 92626) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $85.74, but hospitals typically charge $242.56 — a 2.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $85.74, your out-of-pocket cost would be approximately $17.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.8x more than what Medicare allows for this procedure. Medicare actually pays $62.46 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $99 | $229 | 8 | 115 | +15.6% |
| New York | $95 | $339 | 60 | 1,178 | +10.5% |
| California | $94 | $332 | 96 | 1,554 | +10.0% |
| New Jersey | $93 | $254 | 13 | 177 | +8.9% |
| Connecticut | $92 | $256 | 16 | 189 | +7.8% |
| Maryland | $92 | $236 | 33 | 496 | +7.7% |
| Hawaii | $92 | $212 | 4 | 20 | +7.1% |
| Alaska | $91 | $127 | 4 | 92 | +6.2% |
| Washington | $91 | $245 | 47 | 500 | +5.9% |
| Rhode Island | $89 | $144 | 4 | 41 | +4.0% |
| Colorado | $88 | $208 | 50 | 462 | +3.2% |
| Massachusetts | $88 | $223 | 29 | 144 | +3.1% |
| Montana | $87 | $214 | 10 | 125 | +1.2% |
| Delaware | $87 | $153 | 5 | 79 | +1.2% |
| Oregon | $87 | $270 | 27 | 244 | +0.9% |
| Wyoming | $86 | $230 | 3 | 29 | +0.5% |
| Georgia | $86 | $212 | 40 | 599 | +0.2% |
| Texas | $86 | $205 | 112 | 1,749 | +0.0% |
| Missouri | $86 | $274 | 44 | 906 | -0.2% |
| Nevada | $85 | $197 | 11 | 88 | -0.5% |
| Virginia | $85 | $238 | 40 | 354 | -0.7% |
| Florida | $85 | $228 | 118 | 1,375 | -0.8% |
| Minnesota | $85 | $315 | 42 | 620 | -1.1% |
| Arizona | $85 | $226 | 50 | 871 | -1.2% |
| New Hampshire | $85 | $287 | 7 | 106 | -1.3% |
| Illinois | $84 | $304 | 47 | 571 | -1.8% |
| Michigan | $84 | $177 | 51 | 327 | -1.9% |
| North Carolina | $84 | $200 | 55 | 616 | -2.5% |
| Utah | $83 | $210 | 19 | 249 | -3.2% |
| Indiana | $83 | $185 | 34 | 373 | -3.4% |
| New Mexico | $83 | $211 | 14 | 158 | -3.7% |
| Pennsylvania | $82 | $203 | 60 | 424 | -4.0% |
| Nebraska | $82 | $226 | 17 | 246 | -4.0% |
| Louisiana | $82 | $180 | 18 | 96 | -4.1% |
| Kansas | $82 | $221 | 8 | 208 | -4.2% |
| Iowa | $82 | $223 | 13 | 195 | -4.3% |
| Oklahoma | $82 | $158 | 39 | 861 | -4.3% |
| South Carolina | $82 | $232 | 24 | 723 | -4.7% |
| Kentucky | $82 | $197 | 32 | 412 | -4.7% |
| South Dakota | $82 | $196 | 17 | 154 | -4.9% |
| Tennessee | $81 | $297 | 36 | 420 | -5.4% |
| Maine | $81 | $202 | 10 | 69 | -5.5% |
| Alabama | $81 | $135 | 27 | 506 | -6.1% |
| Mississippi | $80 | $169 | 5 | 89 | -6.4% |
| Arkansas | $80 | $204 | 17 | 121 | -6.5% |
| West Virginia | $80 | $171 | 4 | 59 | -6.8% |
| Wisconsin | $80 | $311 | 30 | 420 | -7.2% |
| Ohio | $77 | $352 | 58 | 492 | -10.5% |
| Idaho | $77 | $179 | 14 | 110 | -10.6% |
| North Dakota | $77 | $220 | 13 | 111 | -10.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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