APC 5494
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 Procedures
Low
$7.5k
Average
$17.9k
Median
$15.4k
High
$41.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 2.0× 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 | Excellus case rate · outpatient | 5 | $41.2k | $41.4k | $10.6k | 26% | 2–20 | $25.5k – $60.3k |
| 2 | Highmark case rate · outpatient | 5 | $18.1k | $25.7k | $9.7k | 38% | 1–10 | $18.1k – $42.5k |
| 3 | UnitedHealthcare fee schedule · outpatient · +5 other terms | 175 | $14.9k | $14.8k | $930 | 6% | — | $4.1k – $18.8k |
| 4 | Humana fee schedule · outpatient · +4 other terms | 161 | $14.6k | $15.3k | $4.4k | 29% | — | $11.8k – $60.6k |
| 5 | Aetna fee schedule · outpatient · +4 other terms | 155 | $14.8k | $15.1k | $1.9k | 12% | — | $11.8k – $25.0k |
| 6 | WellCare fee schedule · outpatient · +2 other terms | 131 | $15.0k | $15.1k | $710 | 5% | — | $13.0k – $18.4k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 127 | $14.6k | $15.3k | $4.3k | 28% | — | $12.7k – $68.6k |
| 8 | Devoted fee schedule · outpatient · +1 other terms | 122 | $14.6k | $14.6k | $412 | 3% | — | $12.7k – $15.3k |
| 9 | Cigna Healthspring fee schedule · outpatient | 110 | $15.3k | $15.0k | $631 | 4% | — | $14.6k – $16.2k |
| 10 | Molina fee schedule · outpatient · +4 other terms | 69 | $21.5k | $20.8k | $8.0k | 39% | — | $13.8k – $38.2k |
| 11 | Superior Healthplan fee schedule · outpatient | 40 | $15.3k | $15.3k | $9 | 0% | — | $15.3k – $15.3k |
| 12 | Anthem fee schedule · outpatient · +2 other terms | 31 | $15.3k | $15.0k | $881 | 6% | — | $13.8k – $18.7k |
| 13 | Oscar fee schedule · outpatient · +1 other terms | 27 | $14.3k | $16.1k | $3.2k | 20% | — | $14.3k – $25.0k |
| 14 | Amerihealth Caritas fee schedule · outpatient | 17 | $19.7k | $19.0k | $1.5k | 8% | — | $15.8k – $19.7k |
| 15 | Cigna fee schedule · outpatient · +2 other terms | 16 | $14.6k | $15.0k | $1.7k | 11% | — | $14.0k – $21.5k |
| 16 | Clover fee schedule · outpatient · +1 other terms | 15 | $15.3k | $14.7k | $728 | 5% | — | $13.4k – $15.3k |
| 17 | Kaiser fee schedule · outpatient · +3 other terms | 15 | $15.6k | $15.5k | $343 | 2% | — | $14.6k – $15.6k |
| 18 | Ambetter case rate · outpatient · +3 other terms | 12 | $23.7k | $27.4k | $4.6k | 17% | — | $23.4k – $32.8k |
| 19 | Medicare case rate · outpatient · +2 other terms | 8 | $13.0k | $13.2k | $310 | 2% | — | $13.0k – $13.9k |
| 20 | Optum fee schedule · outpatient | 8 | $14.6k | $21.7k | $10.4k | 48% | — | $13.4k – $36.4k |
| 21 | Tricare case rate · outpatient · +1 other terms | 7 | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $20.7k | $20.8k | $2.1k | 10% | — | $17.3k – $23.8k |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $11.0k | $11.0k | $3.6k | 32% | — | $7.5k – $14.6k |
| 24 | Bcbs Tx fee schedule · outpatient | 1 | $31.9k | $31.9k | $2.9k | 9% | — | $28.3k – $35.4k |
| 25 | Caresource facility · fee schedule · outpatient | 1 | $16.2k | $16.2k | $2.0k | 12% | — | $14.3k – $18.2k |
← Hospitals reporting APC 5494 · Snapshot 20261111T120946Z-9134e7f7