CPT 92604 Audiologic
Reprogram cochlear implt 7/> Cost
Body System: Auditory
Medicare Facility Rate
$53
CMS PFS CY2026
Medicare Non-Facility Rate
$88
Office/clinic setting
Hospital Outpatient
$131
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.25
Work RVU
0.34
Facility PE RVU
0.01
Malpractice RVU
2.62
Total RVU
Frequently Asked Questions
How much does Reprogram cochlear implt 7/> cost?
The Medicare facility rate is $53. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $131.
How much does Reprogram cochlear implt 7/> cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $53.