Custom ear mold insert at Mayo Clinic

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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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR EARMOLD/INSERT MUSICIAN PLUG

Rochester, MN

See all hospitals reporting HCPCS V5264 →

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Pricing by billing methodology

Price type

How this price compares nationally

Mayo Clinic’s median price of $58 is 2% below the median hospital's median price ($59), higher than 49% 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 Mayo Clinic

Negotiated rates from the hospital’s own file: 16 payers, 49 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 cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges	$54	$62	$14	22%	—	$48 – $79
2	Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges	$54	$62	$14	22%	—	$48 – $79
3	Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · percent of total billed charges · outpatientfrom % of charges	$54	$62	$14	22%	—	$48 – $79
4	Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges	$54	$62	$14	22%	—	$49 – $80
5	Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges	$55	$63	$14	22%	—	$50 – $81
6	Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges	$55	$63	$14	22%	—	$50 – $81
7	Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges	$55	$63	$14	22%	—	$50 – $81
8	Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges	$55	$63	$14	22%	—	$50 – $81
9	Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges	$55	$63	$14	22%	—	$50 – $81
10	Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges	$55	$63	$14	22%	—	$50 – $81
11	Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges	$55	$63	$14	22%	—	$50 – $81
12	Medica medica ifb midlands choice ia and ne [48] professional · percent of total billed charges · outpatientfrom % of charges	$55	$63	$14	22%	—	$50 – $81
13	Medica medica non mayo employees group [755] professional · percent of total billed charges · outpatientfrom % of charges	$55	$63	$14	22%	—	$50 – $81
14	Ucare ucare connect medicare advantage plan [944] professional · percent of total billed charges · outpatientfrom % of charges	$55	$63	$14	22%	—	$50 – $81
15	Healthpartners transplant [629] professional · percent of total billed charges · outpatientfrom % of charges	$56	$64	$14	22%	—	$50 – $82
16	Optum united healthcare [1039] professional · percent of total billed charges · outpatientfrom % of charges	$56	$64	$14	22%	—	$50 – $82
17	UnitedHealthcare united healthcare [1039] professional · percent of total billed charges · outpatientfrom % of charges	$56	$64	$14	22%	—	$50 – $82
18	UnitedHealthcare united healthcare gap exception [1388] professional · percent of total billed charges · outpatientfrom % of charges	$56	$64	$14	22%	—	$50 – $82
19	Medica medica [1040] professional · percent of total billed charges · outpatientfrom % of charges	$57	$65	$14	22%	—	$51 – $84
20	Medica medica complete health [17] professional · percent of total billed charges · outpatientfrom % of charges	$57	$65	$14	22%	—	$51 – $84
21	Optum medica medicare advantage plan behavioral health [1351] professional · percent of total billed charges · outpatientfrom % of charges	$57	$65	$14	22%	—	$51 – $84
22	Aetna aetna [1086] professional · percent of total billed charges · outpatientfrom % of charges	$58	$67	$15	22%	—	$52 – $86
23	Aetna transplant [351] professional · percent of total billed charges · outpatientfrom % of charges	$58	$67	$15	22%	—	$52 – $86
24	Blue Cross Blue Shield blue cross blue shield tiered network [892] professional · percent of total billed charges · outpatientfrom % of charges	$58	$67	$15	22%	—	$52 – $86
25	Cigna cigna [46] professional · percent of total billed charges · outpatientfrom % of charges	$58	$67	$15	22%	—	$52 – $86

Page 1 of 2 · 49 rates

Last updated: Aug 14, 2026

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