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
$3.1k
Average
$6.0k
Median
$4.2k
High
$20.6k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 2.7× 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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24 hospital rates
iThe hospitals that file a Optum 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 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 2 | Keck Hospital of USC Los Angeles, CA facility · other · outpatient | 1 | $7.4k | $7.4k | — | — | 1–10 | $7.4k – $7.4k |
| 3 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 4 | Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 5 | Childrens Hospital of Los Angeles Angeles, CA facility · fee schedule · outpatient | 1 | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 6 | Dupont Hospital LLC Wayne, IN facility · per diem · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 7 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 8 | IOM Health System LP Fort Wayne, IN facility · per diem · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 9 | Knox Hospital Company LLC Knox, IN facility · per diem · outpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 10 | La Porte Hospital Company LLC La Porte, IN facility · per diem · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 11 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · per diem · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 12 | METHODIST HOSPITAL HELOTES, TX fee schedule · outpatient | 1 | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 13 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX fee schedule · outpatient | 1 | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 14 | PARHAM DOCTORS HOSPITAL Richmond, VA fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 15 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO facility · per diem · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 16 | Porter Hospital LLC Valparaiso, IN facility · per diem · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 17 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 1 | $20.6k | $20.6k | — | — | — | $20.6k – $20.6k |
| 18 | RESEARCH MEDICAL CENTER KANSAS CITY, MO fee schedule · outpatient | 2 | $3.7k | $3.7k | $195 | 5% | — | $3.5k – $3.9k |
| 19 | RETREAT DOCTORS HOSPITAL RICHMOND, VA fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 20 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 21 | ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER AUSTIN, TX fee schedule · outpatient | 1 | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 22 | St. Joseph Health System, LLC Wayne, IN facility · per diem · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 23 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 4 | $2.9k | $3.1k | $315 | 10% | — | $2.9k – $3.6k |
| 24 | Warsaw Health System LLC Warsaw, IN facility · per diem · outpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
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