APC 05501
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 1 Extraocular, Repa
Low
$255
Average
$1.8k
Median
$1.8k
High
$4.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 10.7× 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 | $316 | $2.9k | $1.6k | 54% | — | $232 – $4.3k |
| 2 | Caresource fee schedule · outpatient | 20 | $326 | $3.5k | $1.2k | 34% | — | $326 – $4.3k |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 17 | $374 | $1.0k | $1.3k | 126% | — | $174 – $5.2k |
| 4 | Medicare facility · fee schedule · outpatient · +2 other terms | 13 | $327 | $1.2k | $1.6k | 127% | — | $283 – $4.3k |
| 5 | Aetna facility · fee schedule · outpatient · +3 other terms | 12 | $327 | $384 | $117 | 30% | — | $281 – $983 |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $305 | $3.6k | $682 | 19% | — | $305 – $4.2k |
| 7 | Molina facility · fee schedule · outpatient | 7 | $1.6k | $1.4k | $1.7k | 120% | — | $338 – $5.4k |
| 8 | Clover fee schedule · outpatient | 5 | $4.1k | $4.0k | $304 | 8% | — | $3.6k – $4.4k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $3.9k | $3.9k | $255 | 7% | — | $3.5k – $4.3k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $3.9k | $3.9k | $255 | 7% | — | $3.5k – $4.3k |
| 11 | Ambetter facility · fee schedule · outpatient | 4 | $515 | $4.0k | $3.8k | 95% | — | $402 – $8.2k |
| 12 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $1000 | $2.6k | $1.8k | 69% | — | $342 – $4.5k |
| 13 | Devoted facility · fee schedule · outpatient | 4 | $322 | $2.1k | $2.0k | 97% | — | $303 – $4.4k |
| 14 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $356 | $356 | $19 | 5% | — | $324 – $375 |
| 15 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $522 | $3.5k | $3.6k | 105% | — | $315 – $9.5k |
| 16 | Carefirst facility · fee schedule · outpatient | 3 | $375 | $355 | $21 | 6% | — | $333 – $375 |
| 17 | Medica facility · fee schedule · outpatient | 3 | $340 | $340 | — | — | — | $340 – $340 |
| 18 | Bcbs Ca facility · fee schedule · outpatient | 2 | $2.6k | $2.9k | $4.5k | 159% | — | $406 – $19.9k |
| 19 | MultiPlan facility · other · outpatient · +1 other terms | 2 | $532 | $532 | — | — | — | $532 – $532 |
| 20 | Aetna Better Health facility · fee schedule · outpatient · +1 other terms | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 21 | Anthem facility · fee schedule · outpatient | 1 | $682 | $682 | $267 | 39% | — | $303 – $871 |
| 22 | Bcbs Mi facility · fee schedule · outpatient | 1 | $308 | $308 | — | — | — | $308 – $308 |
| 23 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $306 | $306 | — | — | — | $306 – $306 |
| 24 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $289 | $289 | $26 | 9% | — | $259 – $324 |
| 25 | Medical Mutual facility · other · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
← Hospitals reporting APC 05501 · Snapshot 20261111T120946Z-9134e7f7