APC 5496
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 6 Intraocular Procedures
Low
$8.6k
Average
$19.9k
Median
$17.5k
High
$47.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 1.7× 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 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 174 | $16.9k | $16.8k | $700 | 4% | — | $14.7k – $21.3k |
| 2 | Humana fee schedule · outpatient · +4 other terms | 161 | $16.5k | $17.4k | $5.0k | 29% | — | $14.4k – $68.8k |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $16.8k | $17.2k | $2.2k | 13% | — | $14.6k – $28.7k |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $17.0k | $17.1k | $804 | 5% | — | $14.7k – $20.8k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 127 | $16.5k | $18.4k | $8.8k | 48% | — | $14.4k – $96.0k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $16.5k | $16.6k | $468 | 3% | — | $14.4k – $17.4k |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $17.4k | $17.0k | $716 | 4% | — | $16.5k – $18.4k |
| 8 | Molina fee schedule · outpatient · +4 other terms | 69 | $24.3k | $23.7k | $9.1k | 39% | — | $15.6k – $43.4k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $17.4k | $17.4k | $10 | 0% | — | $17.4k – $17.4k |
| 10 | Anthem fee schedule · outpatient · +2 other terms | 31 | $17.4k | $17.1k | $971 | 6% | — | $15.6k – $21.2k |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $16.2k | $18.3k | $3.8k | 21% | — | $16.2k – $28.7k |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $20.6k | $20.2k | $1.0k | 5% | — | $17.9k – $20.6k |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 15 | $16.5k | $16.6k | $342 | 2% | — | $15.9k – $17.1k |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $17.4k | $16.6k | $826 | 5% | — | $15.2k – $17.4k |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $17.7k | $17.6k | $323 | 2% | — | $16.7k – $17.7k |
| 16 | Ambetter case rate · outpatient · +3 other terms | 12 | $27.2k | $31.4k | $5.3k | 17% | — | $26.9k – $37.7k |
| 17 | Medicare case rate · outpatient · +1 other terms | 8 | $14.9k | $15.1k | $357 | 2% | — | $14.9k – $16.0k |
| 18 | Optum fee schedule · outpatient | 8 | $16.5k | $24.7k | $11.8k | 48% | — | $15.4k – $41.3k |
| 19 | Tricare case rate · outpatient · +1 other terms | 7 | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
| 20 | Excellus case rate · outpatient | 5 | $46.7k | $47.0k | $12.0k | 26% | — | $29.0k – $68.4k |
| 21 | Highmark case rate · outpatient | 5 | $20.5k | $29.2k | $11.0k | 38% | — | $20.5k – $48.3k |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $23.8k | $24.0k | $2.4k | 10% | — | $19.9k – $27.4k |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $12.7k | $12.7k | $4.1k | 32% | — | $8.6k – $16.7k |
| 24 | Caresource facility · fee schedule · outpatient | 1 | $18.4k | $18.4k | $2.2k | 12% | — | $16.2k – $20.6k |
| 25 | Magellan fee schedule · outpatient | 1 | $16.1k | $16.1k | — | — | — | $16.1k – $16.1k |
← Hospitals reporting APC 5496 · Snapshot 20261111T120946Z-9134e7f7