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
$128
Median
$113
High
$252
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 3.6× 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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34 hospital rates
iThe hospitals that file a Phcs 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 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $62 | $65 | $12 | 18% | — | $52 – $81 |
| 2 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $65 | $12 | 18% | — | $52 – $81 |
| 3 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $62 | $65 | $12 | 18% | — | $52 – $81 |
| 4 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 5 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $157 | $17 | 11% | — | $140 – $174 |
| 7 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $157 | $17 | 11% | — | $140 – $174 |
| 8 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $157 | $157 | $17 | 11% | — | $140 – $174 |
| 9 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $65 | $12 | 18% | — | $52 – $81 |
| 12 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 1 | $62 | $65 | $12 | 18% | — | $52 – $81 |
| 13 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 1 | $210 | $210 | — | — | — | $210 – $210 |
| 14 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $72 | $72 | $45 | 63% | — | $9 – $144 |
| 15 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | $45 | 63% | — | $9 – $144 |
| 16 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 17 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 18 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $162 | $164 | $85 | 51% | — | $60 – $259 |
| 19 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $162 | $164 | $85 | 51% | — | $60 – $259 |
| 20 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 21 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $143 | $147 | $73 | 49% | — | $62 – $229 |
| 22 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $147 | $73 | 49% | — | $62 – $229 |
| 23 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 24 | North Adams Regional Hospital North Adams, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $65 | $12 | 18% | — | $52 – $81 |
| 25 | North Adams Regional Hospital North Adams, MA professional · fee schedule · outpatient | 1 | $62 | $65 | $12 | 18% | — | $52 – $81 |
← Payers reporting HCPCS V5264 · Snapshot 20261111T120946Z-9134e7f7