APC 5495
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 5 Intraocular Procedures
Low
$8.0k
Average
$17.6k
Median
$15.4k
High
$39.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 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 | UnitedHealthcare fee schedule · outpatient · +5 other terms | 175 | $14.3k | $14.3k | $1.3k | 9% | — | $4.0k – $18.0k |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $14.0k | $14.8k | $4.2k | 29% | — | $12.2k – $58.3k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 155 | $14.6k | $14.8k | $2.2k | 15% | — | $12.4k – $26.9k |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $14.4k | $14.5k | $697 | 5% | — | $12.5k – $17.7k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 127 | $14.7k | $15.2k | $5.9k | 39% | — | $12.2k – $87.3k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $14.0k | $14.0k | $396 | 3% | — | $12.2k – $14.7k |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $14.7k | $14.4k | $607 | 4% | — | $14.0k – $15.6k |
| 8 | Molina fee schedule · outpatient · +4 other terms | 69 | $20.6k | $20.2k | $7.6k | 38% | — | $13.2k – $36.8k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $14.7k | $14.7k | $9 | 0% | — | $14.7k – $14.7k |
| 10 | Anthem fee schedule · outpatient · +2 other terms | 31 | $14.7k | $14.8k | $846 | 6% | — | $13.2k – $17.9k |
| 11 | Oscar fee schedule · outpatient · +2 other terms | 27 | $13.7k | $15.8k | $4.0k | 25% | — | $13.7k – $26.9k |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $17.5k | $17.1k | $870 | 5% | — | $15.2k – $17.5k |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 16 | $14.3k | $16.7k | $4.0k | 24% | — | $13.5k – $24.3k |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $14.7k | $14.1k | $700 | 5% | — | $12.9k – $14.7k |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $15.0k | $15.1k | $236 | 2% | — | $14.7k – $15.7k |
| 16 | Ambetter case rate · outpatient · +3 other terms | 12 | $25.5k | $29.4k | $4.9k | 17% | — | $25.2k – $35.3k |
| 17 | Medicare case rate · outpatient · +2 other terms | 8 | $14.0k | $14.2k | $334 | 2% | — | $14.0k – $15.0k |
| 18 | Optum fee schedule · outpatient | 8 | $14.1k | $21.1k | $9.9k | 47% | — | $14.0k – $35.0k |
| 19 | Tricare case rate · outpatient · +1 other terms | 7 | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 20 | Excellus case rate · outpatient | 5 | $39.6k | $39.8k | $10.2k | 26% | — | $24.6k – $58.0k |
| 21 | Highmark case rate · outpatient | 5 | $17.4k | $24.8k | $9.3k | 38% | — | $17.4k – $40.9k |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $22.3k | $22.4k | $2.3k | 10% | — | $18.6k – $25.6k |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $11.9k | $11.9k | $3.8k | 32% | — | $8.0k – $15.7k |
| 24 | Bcbs Tx fee schedule · outpatient | 1 | $18.8k | $18.8k | $19.0k | 101% | — | $4.4k – $56.9k |
| 25 | Caresource facility · fee schedule · outpatient | 1 | $15.6k | $15.6k | $1.9k | 12% | — | $13.7k – $17.5k |
← Hospitals reporting APC 5495 · Snapshot 20261111T120946Z-9134e7f7