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
Earmold Standard
Low
$0
Average
$78
Median
$67
High
$188
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 96.4× 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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27 hospital rates
iThe hospitals that file a Ambetter 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 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $124 | $124 | $13 | 11% | — | $110 – $137 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $124 | $124 | $13 | 11% | — | $110 – $137 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $124 | $124 | $13 | 11% | — | $110 – $137 |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $110 | $110 | $12 | 11% | — | $98 – $122 |
| 7 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 11 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 12 | Morton Plant Hospital Clearwater, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $125 | $125 | $33 | 27% | — | $89 – $161 |
| 13 | Morton Plant Hospital Clearwater, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $125 | $125 | $33 | 27% | — | $89 – $161 |
| 14 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 15 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | $22 | 52% | — | $20 – $64 |
| 16 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | $23 | 54% | — | $19 – $64 |
| 17 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 18 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 19 | St. Joseph's Hospital Tampa, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $125 | $125 | $33 | 27% | — | $89 – $161 |
| 20 | St. Joseph's Hospital Tampa, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $125 | $125 | $33 | 27% | — | $89 – $161 |
| 21 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | University Hospitals Health System Cleveland, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 23 | University Hospitals Health System Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 24 | Vanderbilt Bedford Hospital Shelbyville, TN percent of total billed charges · bothfrom % of charges | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 25 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN percent of total billed charges · bothfrom % of charges | 1 | $188 | $188 | — | — | — | $188 – $188 |
← Payers reporting HCPCS V5264 · Snapshot 20261111T120946Z-9134e7f7