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
Right Ear Mold/Insert non-disp
Sioux Falls, SD
See all hospitals reporting HCPCS V5264 →Price type
Avera Specialty Hospital’s median price of $71 is 20% above the median hospital's median price ($59), higher than 65% of the 503 hospitals reporting HCPCS V5264. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 3 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $72 | $93 | $31 | 33% | — | $69 – $136 |
| 2 | Medica ind percent of total billed charges · outpatientfrom % of charges | $80 | $102 | $34 | 33% | — | $76 – $150 |
| 3 | Medica com percent of total billed charges · outpatientfrom % of charges | $93 | $119 | $40 | 33% | — | $89 – $175 |
Last updated: Apr 1, 2026
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