Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS V5245 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, digitally programmable, analog, monaural, ITC
| Key Fact | Detail |
|---|---|
| Service Type | Hearing Services Hearing Aids |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for V5245 |
National average reimbursement for HCPCS V5245 by major payers:
$966.15
$2,515.04
$657.58
$3,500.14
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS V5245.
HCPCS V5245
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$3,158.23Published rateJacob Holloway
$2,500.00Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$2,500.00Published rateDonalsonville Hospital Inc
$2,500.00Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$2,500.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS V5245 vs. Other Hearing Aids Codes
The HCPCS V5245 code is part of the Hearing Services services used for Hearing Aids. 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 V5245 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 |
|---|---|---|
| V5244-HCPCS | Moderate | Hearing aid, digitally programmable analog, monaural, CIC |
| V5245-HCPCS | Moderate | Hearing aid, digitally programmable, analog, monaural, ITC |
| V5246-HCPCS | Moderate | Hearing aid, digitally programmable analog, monaural, ITE (in 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 V5245. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V5245 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS V5245) and we'll show you how you compare in 15 minutes or less.