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
$165
Median
$60
High
$24.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
267 hospitals; the 90th percentile is 7.6× 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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345 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Connecticut Children's Hartford, CT percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | 32 | $97 – $97 |
| 2 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $44 | $46 | $6 | 14% | 20 | $40 – $57 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $40 | $47 | $26 | 56% | 4–40 | $17 – $82 |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $39 | $47 | $27 | 58% | 4–40 | $16 – $82 |
| 5 | Sunnyview Rehab Hospital Schenectady, NY facility · percent of total billed charges · bothfrom % of charges | 4 | $72 | $78 | $46 | 59% | 4–40 | $33 – $202 |
| 6 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $114 | $114 | — | — | 3–30 | $114 – $114 |
| 7 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $58 | $62 | $13 | 22% | 3–30 | $48 – $80 |
| 8 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 1 | $79 | $79 | — | — | 2–20 | $79 – $79 |
| 9 | Tucson Medical Center Tucson, AZ facility · other · outpatient | 1 | $10 | $10 | — | — | 2–20 | $10 – $10 |
| 10 | Tucson Medical Center Tucson, AZ facility · other · outpatient | 1 | $10 | $10 | — | — | 2–20 | $10 – $10 |
| 11 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $83 | $91 | $16 | 18% | 2–20 | $76 – $113 |
| 12 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 2 | $60 | $61 | $17 | 27% | 1–10 | $42 – $83 |
| 13 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 2 | $107 | $93 | $21 | 23% | 1–10 | $63 – $107 |
| 14 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | 1–10 | $32 – $32 |
| 15 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | 1–10 | $32 – $32 |
| 16 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $64 | — | — | 1–10 | $64 – $64 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | $21 | 29% | — | $52 – $94 |
| 19 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 20 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $58 | $60 | $3 | 5% | — | $58 – $64 |
| 21 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 22 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $60 | $61 | $17 | 27% | — | $42 – $83 |
| 23 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $180 | $184 | $50 | 27% | — | $126 – $248 |
| 24 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | $3 | 4% | — | $92 – $99 |
| 25 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 3 | $51 | $60 | $15 | 25% | — | $48 – $81 |
← Payers reporting HCPCS V5264 · Snapshot 20261111T120946Z-9134e7f7