HCPCS V5200

Dispensing fee, contralateral, monaural

Current code14 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS V5200 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$200 – $1,8727 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$200 – $8172 plans——
Island HospitalAnacortes———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$80.231 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$745 – $2,4252 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$200 – $2,2657 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$200 – $2,2657 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$200 – $2,2652 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$200 – $8173 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$8961 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$200 – $2,2657 plans——
Virginia Mason Medical CenterSeattle$7.54 – $76010 plans$179$350
Yakima Valley MemorialYakimaFile dated 2026-08-27$326 – $3765 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.