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
$4
Average
$9.4k
Median
$7.1k
High
$29.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
65 hospitals; the 90th percentile is 5.4× 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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65 hospital rates
iThe hospitals that file a Cigna 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 | Regents of the University of California at Irvine Hospital Orange, CA other · outpatient | 2 | $20.4k | $20.4k | $4.7k | 23% | 12–21 | $15.8k – $25.1k |
| 2 | UCI Health - Fountain Valley Orange, CA other · outpatient | 2 | $20.4k | $20.4k | $4.7k | 23% | 12–21 | $15.8k – $25.1k |
| 3 | UCI Health - Lakewood Orange, CA other · outpatient | 2 | $20.4k | $20.4k | $4.7k | 23% | 12–21 | $15.8k – $25.1k |
| 4 | UCI Health - Los Alamitos Orange, CA other · outpatient | 2 | $20.4k | $20.4k | $4.7k | 23% | 12–21 | $15.8k – $25.1k |
| 5 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · other · outpatient | 3 | $4.5k | $7.6k | $4.9k | 64% | 3–30 | $3.8k – $14.6k |
| 6 | The Methodist Hospital Houston, TX other · outpatient | 3 | $4.7k | $8.1k | $5.4k | 67% | 3–30 | $3.8k – $15.7k |
| 7 | Orlando Health, Inc. Orlando, FL other · outpatient | 2 | $9.2k | $9.2k | $5.2k | 57% | 2–20 | $3.9k – $14.4k |
| 8 | Stanford Health Care Stanford, CA other · outpatient | 2 | $25.1k | $25.1k | $104 | 0% | 2–20 | $25k – $25.2k |
| 9 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 2 | $27.5k | $27.5k | $17.3k | 63% | 2–20 | $10.2k – $44.8k |
| 10 | AdventHealth Orlando Winter Park, FL other · outpatient | 1 | $8.7k | $8.7k | — | — | 1–10 | $8.7k – $8.7k |
| 11 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 1 | $5.7k | $5.7k | — | — | 1–10 | $5.7k – $5.7k |
| 12 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 1 | $7.4k | $7.4k | — | — | 1–10 | $7.4k – $7.4k |
| 13 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 1 | $13.3k | $13.3k | — | — | 1–10 | $13.3k – $13.3k |
| 14 | Endeavor Health Clinical Operations Skokie, IL percent of total billed charges · outpatientfrom % of charges | 1 | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 15 | Keck Hospital of USC Los Angeles, CA facility · other · outpatient | 1 | $8.6k | $8.6k | — | — | 1–10 | $8.6k – $8.6k |
| 16 | Legacy Emanuel Medical Center Portland, OR other · outpatient | 1 | $18.5k | $18.5k | — | — | 1–10 | $18.5k – $18.5k |
| 17 | Legacy Good Samaritan Medical Center Portland, OR other · outpatient | 1 | $11.6k | $11.6k | — | — | 1–10 | $11.6k – $11.6k |
| 18 | MUSC Medical Center Charleston, SC facility · other · outpatient | 1 | $10.9k | $10.9k | — | — | 1–10 | $10.9k – $10.9k |
| 19 | MemorialCare Miller Children's & Women's Hospital Long Beach Long Beach, CA other · outpatient | 1 | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 20 | Miami Valley Hospital Jamestown, OH percent of total billed charges · outpatientfrom % of charges | 1 | $29.9k | $29.9k | — | — | 1–10 | $29.9k – $29.9k |
| 21 | Overlake Medical Center & Clinics Bellevue, WA other · outpatient | 1 | $8.4k | $8.4k | — | — | 1–10 | $8.4k – $8.4k |
| 22 | Providence Health And Services - Washington Spokane, WA other · outpatient | 1 | $9.1k | $9.1k | — | — | 1–10 | $9.1k – $9.1k |
| 23 | Providence Health and Services - Oregon Portland, OR other · outpatient | 1 | $18.2k | $18.2k | — | — | 1–10 | $18.2k – $18.2k |
| 24 | SAINT JOSEPHS HOSPITAL OF ATLANTA INC Atlanta, GA facility · other · outpatient | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 25 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
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