HCPCS V5264
Ear mold/insert, not disposable, any type
Current code15 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $19.95 – $342 | — | — |
| Deaconess Medical Center | $19.95 – $149 | — | — |
| Harborview Medical Center | — | $57.18 – $105 | $81.68 – $150 |
| Kadlec Regional Medical Center | $54.02 | — | — |
| Legacy Salmon Creek Medical Center | — | $62.40 | $96.00 |
| Mary Bridge Children's Hospital | $444 | — | — |
| MultiCare Auburn Medical Center | $19.95 – $414 | — | — |
| MultiCare Covington Medical Center | $19.95 – $414 | — | — |
| MultiCare Good Samaritan Hospital | $19.95 – $414 | — | — |
| MultiCare Valley Hospital | $19.95 – $149 | — | — |
| Overlake Hospital Medical Center & Clinics | $164 | — | — |
| Seattle Children's Hospital | $68.47 – $226 | $127 – $236 | $127 – $236 |
| Tacoma General Allenmore Hospital | $19.95 – $414 | — | — |
| University of Washington Medical Ctr | — | $67.94 – $80.59 | $97.05 – $115 |
| Virginia Mason Medical Center | $14.25 – $76.70 | $38.25 – $48.45 | $75.00 – $95.00 |
Medicare (traditional) reference
CMS publishes no national amount for this code.