Custom ear mold insert at Dukes Health System LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

V5264 ND55 EAR MOLDS NON-DISPOSABLE

Peru, IN

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Pricing by billing methodology

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How this price compares nationally

Dukes Health System LLC’s median price of $17 is 70% below the median hospital's median price ($59), higher than 5% of the 503 hospitals reporting HCPCS V5264. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V5264 at Dukes Health System LLC

Negotiated rates from the hospital’s own file: 10 payers, 25 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	Anthem node anthem in mcr select facility · fee schedule · outpatient	$11	$8	$5	61%	—	$2 – $13
2	Humana node humana mcr adv facility · fee schedule · outpatient	$11	$8	$5	61%	—	$2 – $13
3	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$11	$8	$5	61%	—	$2 – $13
4	Anthem anthem in hip facility · fee schedule · outpatient	$11	$8	$5	61%	—	$2 – $13
5	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$11	$8	$5	61%	—	$2 – $13
6	Optum node united optum va ccn facility · per diem · outpatient	$11	$8	$5	61%	—	$2 – $13
7	Aetna node aetna mcr adv facility · fee schedule · outpatient	$11	$8	$5	61%	—	$2 – $13
8	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$17	$12	$7	61%	—	$3 – $20
9	Anthem anthem in work comp facility · other · outpatient	$18	$12	$8	61%	—	$3 – $21
10	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$20	$14	$9	61%	—	$4 – $23
11	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$20	$14	$9	61%	—	$4 – $23
12	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$20	$14	$9	61%	—	$4 – $23
13	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$20	$14	$9	61%	—	$4 – $23
14	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$23	$17	$10	61%	—	$4 – $28
15	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$26	$19	$11	61%	—	$5 – $31
16	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$27	$19	$12	61%	—	$5 – $32
17	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$28	$20	$12	61%	—	$5 – $33
18	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$44	$31	$19	61%	—	$8 – $52
19	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$44	$31	$19	61%	—	$8 – $52
20	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$45	$32	$19	61%	—	$8 – $53
21	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$45	$32	$19	61%	—	$8 – $53
22	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$45	$32	$19	61%	—	$8 – $53
23	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$45	$32	$19	61%	—	$8 – $53
24	Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges	$55	$39	$24	61%	—	$10 – $65
25	Tricare node tricare facility · fee schedule · outpatient	$55	$39	$24	61%	—	$10 – $65

Last updated: Apr 1, 2026

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