Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Screening Test Pure Tone Air Only
Low
$5
Average
$29
Median
$18
High
$127
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 11.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
38 hospital rates
iThe hospitals that file a Excellus rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 2 | $11 | $11 | $4 | 40% | — | $6 – $15 |
| 2 | CLIFTON-FINE HEALTHCARE CORPORATION STAR LAKE, NY fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both | 2 | $11 | $11 | $4 | 40% | — | $6 – $15 |
| 4 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $5 | $5 | — | — | — | $5 – $5 |
| 6 | MVHS, Inc. Utica, NY fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 7 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $30 | $30 | — | — | — | $30 – $30 |
| 8 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $127 | $127 | — | — | — | $127 – $127 |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 10 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient | 2 | $14 | $14 | $6 | 41% | — | $9 – $20 |
| 11 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 2 | $13 | $13 | $4 | 34% | — | $9 – $17 |
| 12 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 14 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $14 | $14 | $6 | 41% | — | $9 – $20 |
| 15 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 16 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 17 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 18 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | Saint Marys Hospital Waterbury, CT professional · fee schedule · inpatient | 2 | $13 | $13 | $7 | 50% | — | $6 – $20 |
| 20 | Saint Marys Hospital Waterbury, CT professional · fee schedule · outpatient | 2 | $13 | $13 | $7 | 50% | — | $6 – $20 |
| 21 | Samaritan Hospital Troy, NY facility · fee schedule · both | 4 | $11 | $20 | $19 | 94% | — | $5 – $53 |
| 22 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $35 | $35 | $23 | 64% | — | $13 – $58 |
| 23 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 24 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 25 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
← Payers reporting CPT 92551 · Snapshot 20261111T120946Z-9134e7f7