Custom ear mold insert at Glendale Adventist Medical Center

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

EAR MOLD/INSERT, NOT DISPOSABLE, ANY TYPE

Glendale, CA

See all hospitals reporting HCPCS V5264 →

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How this price compares nationally

Glendale Adventist Medical Center’s median price of $178 is 200% above the median hospital's median price ($59), higher than 92% 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 Glendale Adventist Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 19 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	Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
2	UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
3	Blue Cross Blue Shield blue shield medi-cal percent of total billed charges · outpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
4	UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
5	UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
6	Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
7	Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
8	Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges	$147	$147	—	—	—	$147 – $147
9	Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
10	Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
11	Blue Cross Blue Shield blue cross exchange case rate · outpatient	$156	$156	—	—	—	$156 – $156
12	Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges	$165	$165	—	—	—	$165 – $165
13	Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient	$174	$174	—	—	—	$174 – $174
14	Blue Cross Blue Shield blue cross non-mcs case rate · outpatient	$174	$174	—	—	—	$174 – $174
15	First Health first health- all plans percent of total billed charges · outpatientfrom % of charges	$187	$187	—	—	—	$187 – $187
16	Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges	$210	$210	—	—	—	$210 – $210
17	Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
18	Medicaid medi-cal fee schedule · outpatient	$323	$323	—	—	—	$323 – $323
19	Molina molina mcal fee schedule · outpatient	$323	$323	—	—	—	$323 – $323

Last updated: Jul 30, 2026

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