APC 05494
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.
Original text from hospital filings
Level 4 Intraocular Proce
Low
$14.1k
Average
$18.4k
Median
$15.6k
High
$36.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
16 payers; the 90th percentile is 1.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +2 other terms | 86 | $14.4k | $14.2k | $678 | 5% | — | $10.6k – $15.4k |
| 2 | Caresource fee schedule · outpatient | 20 | $14.9k | $14.9k | $49 | 0% | — | $14.7k – $14.9k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $13.9k | $14.2k | $247 | 2% | — | $13.9k – $14.5k |
| 4 | Aetna fee schedule · outpatient · +1 other terms | 5 | $14.8k | $14.6k | $160 | 1% | — | $14.4k – $14.8k |
| 5 | Clover fee schedule · outpatient | 5 | $15.2k | $15.1k | $93 | 1% | — | $15.0k – $15.2k |
| 6 | Kaiser fee schedule · outpatient | 5 | $14.9k | $14.8k | $91 | 1% | — | $14.7k – $14.9k |
| 7 | Medicare fee schedule · outpatient · +2 other terms | 5 | $14.5k | $14.4k | $88 | 1% | — | $14.3k – $14.5k |
| 8 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 5 | $14.5k | $14.4k | $88 | 1% | — | $14.3k – $14.5k |
| 9 | WellCare fee schedule · outpatient · +2 other terms | 5 | $14.9k | $14.8k | $91 | 1% | — | $14.7k – $14.9k |
| 10 | Ambetter facility · fee schedule · outpatient | 2 | $28.0k | $28.0k | — | — | — | $28.0k – $28.0k |
| 11 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $23.9k | $23.9k | $8.7k | 37% | — | $15.1k – $32.6k |
| 12 | Cigna facility · fee schedule · outpatient · +1 other terms | 2 | $45.0k | $45.0k | $16.1k | 36% | — | $15.6k – $59.0k |
| 13 | Devoted facility · fee schedule · outpatient | 2 | $15.1k | $15.1k | — | — | — | $15.1k – $15.1k |
| 14 | Molina facility · fee schedule · outpatient | 2 | $20.3k | $20.3k | $4.8k | 24% | — | $15.5k – $25.1k |
| 15 | Tricare fee schedule · both · +1 other terms | 2 | $15.3k | $15.3k | $2.9k | 19% | — | $10.4k – $18.1k |
| 16 | Optum fee schedule · both | 1 | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
← Hospitals reporting APC 05494 · Snapshot 20261111T120946Z-9134e7f7