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
$33
Median
$25
High
$133
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 7966.7× 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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28 hospital rates
iThe hospitals that file a WellCare 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 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $133 | $133 | — | — | 3–30 | $133 – $133 |
| 2 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $133 | $133 | — | — | 3–30 | $133 – $133 |
| 3 | Bristol Regional Medical Center BRISTOL, VA percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 4 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 5 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Greeneville Community Hospital GREENEVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 14 | Hawkins County Memorial Hospital ROGERSVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 15 | Holston Valley Medical Center KINGSPORT, TN percent of total billed charges · bothfrom % of charges | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 16 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 17 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $85 | $33 | 38% | — | $52 – $117 |
| 18 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $83 | $83 | $21 | 25% | — | $63 – $104 |
| 19 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $36 | $19 | 52% | — | $17 – $54 |
| 20 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | $19 | 54% | — | $16 – $54 |
| 21 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 22 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 23 | Vanderbilt Bedford Hospital Shelbyville, TN other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Vanderbilt University Medical Center Nashville, TN other · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS V5264 · Snapshot 20261111T120946Z-9134e7f7