APC 5504
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 Extraocular, Repair, and Plastic Eye Procedures
Low
$2.0k
Average
$6.3k
Median
$5.1k
High
$28.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
31 payers; the 90th percentile is 2.4× 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 | Cigna other · outpatient · +5 other terms | 23 | $11.6k | $15.0k | $9.4k | 63% | 72–324 | $4 – $44.8k |
| 2 | Excellus case rate · outpatient | 5 | $11.2k | $11.2k | $2.9k | 26% | 43–52 | $6.9k – $16.3k |
| 3 | Caresource facility · other · outpatient · +2 other terms | 5 | $2.9k | $2.9k | $550 | 19% | 5–50 | $2.3k – $3.6k |
| 4 | Medical Mutual other · outpatient · +2 other terms | 4 | $23.9k | $21.4k | $12.5k | 58% | 5–50 | $6.7k – $41.2k |
| 5 | Medica other · outpatient | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 6 | Medicaid other · outpatient · +1 other terms | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 7 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $28.3k | $28.3k | — | — | 1–10 | $28.3k – $28.3k |
| 8 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 175 | $4.0k | $4.2k | $508 | 12% | — | $3.5k – $5.5k |
| 9 | Humana fee schedule · outpatient · +5 other terms | 161 | $3.9k | $4.1k | $1.2k | 29% | — | $3.5k – $16.4k |
| 10 | Aetna fee schedule · outpatient · +6 other terms | 155 | $4.0k | $4.1k | $479 | 12% | — | $3.5k – $6.6k |
| 11 | WellCare fee schedule · outpatient · +4 other terms | 131 | $4.1k | $4.1k | $193 | 5% | — | $3.5k – $5.0k |
| 12 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 127 | $3.9k | $4.2k | $1.4k | 34% | — | $3.5k – $21.4k |
| 13 | Devoted fee schedule · outpatient · +3 other terms | 122 | $3.9k | $4.0k | $112 | 3% | — | $3.5k – $4.1k |
| 14 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $4.1k | $4.1k | $171 | 4% | — | $3.9k – $4.4k |
| 15 | Molina fee schedule · outpatient · +5 other terms | 69 | $5.8k | $5.6k | $2.2k | 39% | — | $3.7k – $10.4k |
| 16 | Superior Healthplan fee schedule · outpatient | 40 | $4.1k | $4.1k | $2 | 0% | — | $4.1k – $4.2k |
| 17 | Anthem fee schedule · outpatient · +4 other terms | 31 | $4.1k | $4.0k | $258 | 6% | — | $3.7k – $5.1k |
| 18 | Oscar fee schedule · outpatient · +4 other terms | 27 | $3.9k | $4.3k | $826 | 19% | — | $3.9k – $6.6k |
| 19 | Amerihealth Caritas fee schedule · outpatient | 17 | $5.3k | $5.2k | $402 | 8% | — | $4.3k – $5.3k |
| 20 | Clover fee schedule · outpatient · +3 other terms | 15 | $4.1k | $4.0k | $197 | 5% | — | $3.6k – $4.1k |
| 21 | Kaiser fee schedule · outpatient · +5 other terms | 15 | $4.2k | $4.2k | $127 | 3% | — | $3.8k – $4.2k |
| 22 | Ambetter case rate · outpatient · +5 other terms | 12 | $6.3k | $7.2k | $1.2k | 17% | — | $6.2k – $8.7k |
| 23 | Medicare facility · fee schedule · outpatient · +2 other terms | 11 | $4.9k | $5.2k | $2.2k | 42% | — | $1.6k – $13.3k |
| 24 | Optum facility · per diem · outpatient · +3 other terms | 10 | $4.2k | $4.2k | $240 | 6% | — | $4.2k – $6.0k |
| 25 | Tricare case rate · outpatient · +1 other terms | 7 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
← Hospitals reporting APC 5504 · Snapshot 20261111T120946Z-9134e7f7