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
HC REPAIR HEARING AID LEVEL 12
Low
$120
Average
$204
Median
$213
High
$250
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 1.5× 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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21 hospital rates
iThe hospitals that file a Tricare 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 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 2 | Boston Medical Center Boston, MA fee schedule · both | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 3 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 4 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 2 | $175 | $175 | $9 | 5% | — | $166 – $184 |
| 5 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $196 | $189 | $48 | 25% | — | $98 – $228 |
| 6 | Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient | 2 | $233 | $233 | $5 | 2% | — | $229 – $238 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 8 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 9 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 10 | Hackettstown Medical Center Hackettstown, NJ fee schedule · outpatient | 2 | $233 | $233 | $5 | 2% | — | $229 – $238 |
| 11 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 12 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 13 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $242 | $213 | $57 | 27% | — | $100 – $242 |
| 14 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 15 | Morristown Medical Center Morristown, NJ fee schedule · outpatient | 2 | $233 | $233 | $5 | 2% | — | $229 – $238 |
| 16 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA fee schedule · outpatient | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 17 | Newton Medical Center Newton, NJ fee schedule · outpatient | 2 | $233 | $233 | $5 | 2% | — | $229 – $238 |
| 18 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $88 | $168 | $152 | 90% | — | $25 – $400 |
| 19 | North Adams Regional Hospital North Adams, MA professional · fee schedule · outpatient | 1 | $88 | $162 | $142 | 88% | — | $25 – $360 |
| 20 | Overlook Medical Center Summit, NJ fee schedule · outpatient | 2 | $233 | $233 | $5 | 2% | — | $229 – $238 |
| 21 | University Hospital & Clinics, Inc. Lafayette, LA fee schedule · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
← Payers reporting HCPCS V5014 · Snapshot 20261111T120946Z-9134e7f7