CPT 92626 Audiologic
Eval aud funcj 1st hour Cost
Body System: Auditory
Medicare Facility Rate
$60
CMS PFS CY2026
Medicare Non-Facility Rate
$84
Office/clinic setting
Hospital Outpatient
$131
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.40
Work RVU
0.38
Facility PE RVU
0.01
Malpractice RVU
2.52
Total RVU
Frequently Asked Questions
How much does Eval aud funcj 1st hour cost?
The Medicare facility rate is $60. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $131.
How much does Eval aud funcj 1st hour 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 $60.