APC 05503
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 3 Extraocular, Repa
Low
$2.4k
Average
$3.9k
Median
$2.8k
High
$13.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 2.6× 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 | $2.4k | $2.4k | $69 | 3% | — | $1.7k – $2.5k |
| 2 | Caresource fee schedule · outpatient | 20 | $2.4k | $2.4k | $15 | 1% | — | $2.4k – $2.4k |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 12 | $2.8k | $3.6k | $2.8k | 78% | — | $2.1k – $13.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 11 | $2.3k | $2.4k | $17 | 1% | — | $2.3k – $2.4k |
| 5 | Medicare facility · fee schedule · outpatient · +2 other terms | 9 | $3.0k | $2.8k | $837 | 29% | — | $2.1k – $4.6k |
| 6 | Aetna facility · fee schedule · outpatient · +3 other terms | 6 | $2.8k | $2.9k | $763 | 26% | — | $2.1k – $3.8k |
| 7 | Molina facility · fee schedule · outpatient | 6 | $3.1k | $3.4k | $684 | 20% | — | $2.5k – $4.8k |
| 8 | Clover fee schedule · outpatient | 5 | $2.5k | $2.5k | $15 | 1% | — | $2.5k – $2.5k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $2.4k | $2.4k | $15 | 1% | — | $2.4k – $2.4k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $2.4k | $2.4k | $15 | 1% | — | $2.4k – $2.4k |
| 11 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $2.7k | $2.7k | $145 | 5% | — | $2.4k – $2.8k |
| 12 | Ambetter facility · fee schedule · outpatient | 3 | $4.6k | $6.4k | $2.1k | 32% | — | $3.1k – $8.7k |
| 13 | Carefirst facility · fee schedule · outpatient | 3 | $2.8k | $2.7k | $158 | 6% | — | $2.5k – $2.8k |
| 14 | Devoted facility · fee schedule · outpatient | 3 | $2.5k | $3.5k | $1.1k | 31% | — | $2.3k – $4.7k |
| 15 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $5.5k | $5.6k | $2.7k | 49% | — | $2.5k – $10.1k |
| 16 | Cigna facility · fee schedule · outpatient · +1 other terms | 2 | $7.6k | $7.6k | $2.3k | 30% | — | $2.6k – $9.7k |
| 17 | Aetna Better Health facility · fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 18 | Bcbs Ca facility · fee schedule · outpatient | 1 | $13.4k | $13.4k | $7.8k | 58% | — | $5.6k – $21.2k |
| 19 | Medica facility · fee schedule · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | MultiPlan facility · other · outpatient · +1 other terms | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 21 | Optum fee schedule · both | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 22 | Oscar facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
← Hospitals reporting APC 05503 · Snapshot 20261111T120946Z-9134e7f7