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
$9
Average
$91
Median
$54
High
$2.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
86 hospitals; the 90th percentile is 3.8× 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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127 hospital rates
iThe hospitals that file a Anthem 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 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $49 | $7 | 13% | 23 | $44 – $60 |
| 2 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $85 | $88 | $27 | 30% | 15–33 | $54 – $126 |
| 3 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 4 | $141 | $148 | $62 | 42% | 12–120 | $53 – $301 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $53 | $53 | $15 | 29% | — | $38 – $68 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $19 | $27 | $20 | 72% | — | $10 – $66 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $169 | $128 | $50 | 39% | — | $67 – $169 |
| 8 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 4 | $79 | $85 | $33 | 39% | — | $48 – $135 |
| 9 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $49 | $49 | — | — | — | $49 – $49 |
| 10 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $100 | $100 | — | — | — | $100 – $100 |
| 11 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 12 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 16 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 8 | $49 | $49 | — | — | — | $49 – $49 |
| 17 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $49 | $49 | — | — | — | $49 – $49 |
| 18 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · inpatientfrom % of charges | 2 | $84 | $84 | — | — | — | $84 – $84 |
| 19 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 20 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 2 | $121 | $121 | $2 | 2% | — | $119 – $123 |
| 21 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 2 | $121 | $121 | $2 | 2% | — | $119 – $123 |
| 22 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 3 | $128 | $130 | $3 | 3% | — | $128 – $135 |
| 23 | Children's National Hospital Washington, DC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $134 | $134 | — | — | — | $134 – $134 |
| 24 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 2 | $49 | $52 | $7 | 13% | — | $46 – $64 |
| 25 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
← Payers reporting HCPCS V5264 · Snapshot 20261111T120946Z-9134e7f7