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
$1.4k
Average
$5.5k
Median
$4.1k
High
$53.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
264 hospitals; the 90th percentile is 2.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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265 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | The Methodist Hospital Houston, TX other · outpatient | 2 | $6.5k | $6.5k | $2.8k | 42% | 29 | $3.8k – $9.3k |
| 2 | Regents of the University of California at Irvine Hospital Orange, CA other · outpatient | 1 | $13.9k | $13.9k | — | — | 15 | $13.9k – $13.9k |
| 3 | UCI Health - Fountain Valley Orange, CA other · outpatient | 1 | $13.9k | $13.9k | — | — | 15 | $13.9k – $13.9k |
| 4 | UCI Health - Lakewood Orange, CA other · outpatient | 1 | $13.9k | $13.9k | — | — | 15 | $13.9k – $13.9k |
| 5 | UCI Health - Los Alamitos Orange, CA other · outpatient | 1 | $13.9k | $13.9k | — | — | 15 | $13.9k – $13.9k |
| 6 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · other · outpatient | 3 | $3.8k | $7.5k | $6.9k | 92% | 3–30 | $1.5k – $17.1k |
| 7 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 2 | $6.7k | $6.7k | $3.2k | 48% | 2–20 | $3.5k – $10.0k |
| 8 | Children's Memorial Hermann Hospital Houston, TX facility · other · outpatient | 2 | $8.3k | $8.3k | $4.6k | 55% | 2–20 | $3.7k – $12.9k |
| 9 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 2 | $4.0k | $4.0k | $333 | 8% | 2–20 | $3.7k – $4.4k |
| 10 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 2 | $5.0k | $5.0k | $1.1k | 23% | 2–20 | $3.9k – $6.1k |
| 11 | Garnet Health Medical Center Middletown, NY facility · other · outpatient | 2 | $4.2k | $4.2k | $739 | 18% | 2–20 | $3.5k – $4.9k |
| 12 | Grant Medical Center Columbus, OH other · outpatient | 2 | $15.2k | $15.2k | $11.7k | 77% | 2–20 | $3.5k – $26.9k |
| 13 | Harborview Medical Center Seattle, WA other · outpatient | 2 | $10.4k | $10.4k | $5.9k | 57% | 2–20 | $4.5k – $16.3k |
| 14 | Keck Hospital of USC Los Angeles, CA facility · other · outpatient | 2 | $16.0k | $16.0k | $10.6k | 66% | 2–20 | $5.5k – $26.6k |
| 15 | Lankenau Medical Center Wynnewood, PA facility · other · outpatient | 2 | $6.3k | $6.3k | $2.2k | 34% | 2–20 | $4.1k – $8.4k |
| 16 | Memorial Hermann Cypress Hospital Cypress, TX facility · other · outpatient | 2 | $8.3k | $8.3k | $4.6k | 55% | 2–20 | $3.7k – $12.9k |
| 17 | Memorial Hermann Imaging Center (Bellaire) Bellaire, TX facility · other · outpatient | 2 | $8.3k | $8.3k | $4.6k | 55% | 2–20 | $3.7k – $12.9k |
| 18 | Memorial Hermann Imaging Center (Cypress) Cypress, TX facility · other · outpatient | 2 | $8.3k | $8.3k | $4.6k | 55% | 2–20 | $3.7k – $12.9k |
| 19 | Memorial Hermann Imaging Center (Texas Medical Center) Houston, TX facility · other · outpatient | 2 | $8.3k | $8.3k | $4.6k | 55% | 2–20 | $3.7k – $12.9k |
| 20 | Memorial Hermann Imaging Center (Upper Kirby) Houston, TX facility · other · outpatient | 2 | $8.3k | $8.3k | $4.6k | 55% | 2–20 | $3.7k – $12.9k |
| 21 | Memorial Hermann Rockets Orthopedic Hospital Bellaire, TX facility · other · outpatient | 2 | $8.3k | $8.3k | $4.6k | 55% | 2–20 | $3.7k – $12.9k |
| 22 | Memorial Hermann-Texas Medical Center Houston, TX facility · other · outpatient | 2 | $8.3k | $8.3k | $4.6k | 55% | 2–20 | $3.7k – $12.9k |
| 23 | Overlake Medical Center & Clinics Bellevue, WA other · outpatient | 2 | $7.4k | $7.4k | $3.4k | 45% | 2–20 | $4.1k – $10.8k |
| 24 | Providence Health And Services - Washington Spokane, WA other · outpatient | 2 | $10.3k | $10.3k | $6.3k | 61% | 2–20 | $4.1k – $16.6k |
| 25 | Riverside Methodist Hospital Columbus, OH other · outpatient | 2 | $20.0k | $20.0k | $13.9k | 69% | 2–20 | $6.1k – $33.9k |
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