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
$17
Average
$46
Median
$29
High
$123
Each hospital's average Premera rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 5.5× 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.
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36 hospital rates
iThe hospitals that file a Premera 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · bothfrom % of charges | 1 | $114 | $114 | — | — | 1–10 | $114 – $114 |
| 2 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA percent of total billed charges · outpatientfrom % of charges | 1 | $115 | $115 | — | — | 1–10 | $115 – $115 |
| 3 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 4 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 5 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 6 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $33 | $32 | $1 | 4% | — | $30 – $33 |
| 7 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 4 | $26 | $26 | — | — | — | $26 – $26 |
| 8 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 4 | $26 | $26 | — | — | — | $26 – $26 |
| 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 | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $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 | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 16 | MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · outpatientfrom % of charges | 4 | $26 | $26 | — | — | — | $26 – $26 |
| 17 | MultiCare Capital Medical Center Lacey, WA percent of total billed charges · outpatientfrom % of charges | 4 | $26 | $26 | — | — | — | $26 – $26 |
| 18 | MultiCare Covington Medical Center Covington, WA percent of total billed charges · outpatientfrom % of charges | 4 | $26 | $26 | — | — | — | $26 – $26 |
| 19 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA percent of total billed charges · bothfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 20 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 21 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 22 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 23 | Saint Marys Hospital Waterbury, CT professional · fee schedule · inpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 24 | Saint Marys Hospital Waterbury, CT professional · fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 25 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $53 | $53 | — | — | — | $53 – $53 |
← Payers reporting CPT 92551 · Snapshot 20261111T120946Z-9134e7f7