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
$25
Average
$305
Median
$88
High
$1.3k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 17.0× 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.
Filter by billing methodology
Filter by billing class
7 hospital rates
iThe hospitals that file a Medicare 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 3 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $24 | $25 | $5 | 18% | — | $20 – $31 |
| 4 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $85 | $93 | $28 | 31% | — | $60 – $150 |
| 5 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 6 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $83 | $83 | $21 | 25% | — | $63 – $104 |
| 7 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 1 | $85 | $222 | $318 | 143% | — | $60 – $999 |
← Payers reporting HCPCS V5264 · Snapshot 20261111T120946Z-9134e7f7