APC 05502
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 2 Extraocular, Repa
Low
$590
Average
$3.0k
Median
$2.6k
High
$12.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 3.9× 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 | $992 | $2.4k | $1.5k | 63% | — | $729 – $4.4k |
| 2 | Caresource fee schedule · outpatient | 20 | $1.0k | $3.0k | $1.5k | 50% | — | $1.0k – $4.4k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $958 | $3.3k | $1.2k | 36% | — | $958 – $4.2k |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 8 | $1.1k | $2.2k | $1.8k | 82% | — | $546 – $5.6k |
| 5 | Medicare facility · fee schedule · outpatient · +2 other terms | 7 | $1.2k | $1.6k | $1.2k | 77% | — | $888 – $4.4k |
| 6 | Aetna fee schedule · outpatient · +3 other terms | 5 | $3.9k | $3.4k | $1.2k | 35% | — | $1.0k – $4.3k |
| 7 | Clover fee schedule · outpatient | 5 | $4.2k | $3.6k | $1.3k | 36% | — | $1.0k – $4.5k |
| 8 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $4.0k | $3.5k | $1.2k | 36% | — | $1.0k – $4.4k |
| 9 | Molina facility · fee schedule · outpatient | 5 | $1.3k | $1.8k | $1.2k | 68% | — | $1.1k – $4.6k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $4.0k | $3.5k | $1.2k | 36% | — | $1.0k – $4.4k |
| 11 | Devoted facility · fee schedule · outpatient | 3 | $1.0k | $2.7k | $1.7k | 64% | — | $953 – $4.5k |
| 12 | Tricare facility · fee schedule · outpatient · +1 other terms | 3 | $1.1k | $1.1k | $63 | 6% | — | $1.0k – $1.2k |
| 13 | Ambetter facility · fee schedule · outpatient | 2 | $5.1k | $5.1k | $3.2k | 62% | — | $1.9k – $8.3k |
| 14 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $4.4k | $4.4k | $3.3k | 76% | — | $1.0k – $9.7k |
| 15 | Carefirst facility · fee schedule · outpatient | 2 | $1.1k | $1.1k | $67 | 6% | — | $1.0k – $1.2k |
| 16 | Cigna facility · fee schedule · outpatient · +1 other terms | 2 | $3.4k | $3.4k | $972 | 28% | — | $1.1k – $4.6k |
| 17 | Aetna Better Health facility · other · outpatient | 1 | $590 | $590 | — | — | — | $590 – $590 |
| 18 | Anthem facility · fee schedule · outpatient | 1 | $2.2k | $2.2k | $881 | 40% | — | $953 – $2.8k |
| 19 | Bcbs Ca facility · fee schedule · outpatient | 1 | $12.8k | $12.8k | $7.5k | 58% | — | $5.3k – $20.3k |
| 20 | Bcbs Mi facility · fee schedule · outpatient | 1 | $968 | $968 | — | — | — | $968 – $968 |
| 21 | Medical Mutual facility · other · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 22 | MultiPlan facility · other · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | Optum fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Hospitals reporting APC 05502 · Snapshot 20261111T120946Z-9134e7f7