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
Right Ear Mold/Insert non-disp
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$159
Median
$60
High
$16.4k
Filter by billing methodology
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 365 hospitals; the 90th percentile is 5.9× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Avera McKennan Hospital Sioux Falls, SD | $48 | $56 | $13 | 24% | 5–50 | $48 – $79 |
| 2 | Avera Marshall Hospital Marshall, MN | $48 | $48 | — | — | 3–30 | $48 – $48 |
| 3 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $80 | $80 | $2 | 2% | — | $79 – $82 |
| 4 | Fairview Health Services Edina, MN | $98 | $128 | $115 | 90% | — | $29 – $455 |
| 5 | Mayo Regional Hospital Dover Foxcroft, ME | $49 | $35 | $18 | 51% | — | $14 – $51 |
| 6 | Hoopeston Community Memorial Hospital Hoopeston, IL | $59 | $59 | — | — | — | $59 – $59 |
| 7 | Deaconess Hospital, Inc Newburgh, IN | $0 | $5 | $14 | 281% | — | $0 – $49 |
| 8 | Kadlec Regional Medical Center Richland, WA | $54 | $54 | — | — | — | $54 – $54 |
| 9 | Landmark Medical Center Woonsocket, RI | $45 | $55 | $24 | 43% | — | $31 – $96 |
| 10 | Children's Healthcare of Atlanta Atlanta, GA | $45 | $47 | $3 | 7% | — | $45 – $52 |
Ask Claude or any MCP client for HCPCS V5264 pricing at a specific hospital — see how to connect.