Price Checker / CPT 92626
How much does Evaluation Aud Funcj 1st Hour cost?
CPT 92626 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.
Fair price
$370–$430
What this should cost
With insurance
~$380
Typical out-of-pocket
Overcharged if over
$540
Push back above this
The average hospital charge of $442 is $42 over the fair price.
What hospitals charge for Evaluation Aud Funcj 1st Hour
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| MedStar Health Physical Therapy at Cockeysville , DC | $442 | — | 346% |
| MedStar Health Physical Therapy at Lake Ridge , DC | $442 | — | 346% |
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.
About Evaluation Aud Funcj 1st Hour
CPT code 92626 refers to evaluation aud funcj 1st hour (billing description: "Eval aud funcj 1st hour"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $60 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
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.