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
$234
Median
$60
High
$26.4k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
208 hospitals; the 90th percentile is 9.0× 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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273 hospital rates
iThe hospitals that file a Cigna 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 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 7 | $57 | $74 | $48 | 65% | 84–840 | $14 – $230 |
| 2 | Connecticut Children's Hartford, CT percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | 15 | $100 – $100 |
| 3 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $52 | $7 | 13% | 14 | $47 – $61 |
| 4 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $103 | $107 | $82 | 76% | 9–90 | $7 – $244 |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $58 | $65 | $41 | 63% | 4–40 | $23 – $142 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $57 | $64 | $42 | 65% | 4–40 | $21 – $142 |
| 7 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $96 | $96 | — | — | 3–30 | $96 – $96 |
| 8 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $56 | $0 | 1% | 3–30 | $56 – $57 |
| 9 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $163 | $167 | $58 | 34% | 3–30 | $88 – $266 |
| 10 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | $8 | 12% | 2–20 | $62 – $79 |
| 11 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | $13 | 11% | 2–20 | $109 – $136 |
| 12 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | 1–10 | $108 – $108 |
| 13 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $133 | $133 | — | — | 1–10 | $133 – $133 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | $22 | 29% | — | $53 – $96 |
| 15 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 16 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | $8 | 12% | — | $62 – $79 |
| 17 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $212 | $212 | $25 | 12% | — | $187 – $238 |
| 18 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 19 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 3 | $92 | $91 | $19 | 21% | — | $67 – $114 |
| 20 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $92 | $91 | $19 | 21% | — | $67 – $114 |
| 21 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 22 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · bothfrom % of charges | 3 | $12 | $12 | $1 | 6% | — | $11 – $12 |
| 23 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · bothfrom % of charges | 3 | $12 | $12 | $1 | 6% | — | $11 – $12 |
| 24 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · bothfrom % of charges | 3 | $12 | $12 | $1 | 6% | — | $11 – $12 |
| 25 | Banner Desert Medical Center Mesa, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $133 | $133 | $3 | 2% | — | $130 – $136 |
← Payers reporting HCPCS V5264 · Snapshot 20261111T120946Z-9134e7f7