Price Checker / CPT 92526

How much does Oral Function Therapy cost?

CPT 92526 · Based on 2026 Medicare rates and hospital-published pricing

Overpriced

The average hospital charge is about above the fair price. You have grounds to ask for a reduction.

Fair price

$280–$330

What this should cost

With insurance

~$440

Typical out-of-pocket

Overcharged if over

$410

Push back above this

The average hospital charge of $415 is $105 over the fair price.

What hospitals charge for Oral Function Therapy

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

Were you billed for this procedure?

Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.

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About Oral Function Therapy

CPT code 92526 refers to oral function therapy (billing description: "Oral function therapy"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $84 in a facility (hospital or surgery center) and $84 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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