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See a sample rate comparisonHCPCS V5050 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Hearing aid, monaural, in the ear
| Key Fact | Detail |
|---|---|
| Service Type | Hearing Services Hearing Aid, Monaural |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for V5050 |
National average reimbursement for HCPCS V5050 by major payers:
$857.11
$834.39
$597.14
$539.67
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HCPCS V5050
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$4,346.14Published rateChu Chen
$1,626.56Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$1,039.35Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$867.22Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$607.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V5050 vs. Other Hearing Aid, Monaural Codes
The HCPCS V5050 code is part of the Hearing Services services used for Hearing Aid, Monaural. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS V5050 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| V5040-HCPCS | Moderate | Hearing aid, monaural, body worn, bone conduction |
| V5050-HCPCS | Moderate | Hearing aid, monaural, in the ear |
| V5060-HCPCS | Moderate | Hearing aid, monaural, behind the ear |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V5050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V5050 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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