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
$969
Average
$4.2k
Median
$4.1k
High
$9.0k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
169 hospitals; the 90th percentile is 1.2× 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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169 hospital rates
iThe hospitals that file a WellCare 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 | Children's Memorial Hermann Hospital Houston, TX facility · other · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 2 | Harborview Medical Center Seattle, WA other · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 3 | Kaleida Health Buffalo, NY other · outpatient | 1 | $4.6k | $4.6k | — | — | 1–10 | $4.6k – $4.6k |
| 4 | MUSC Medical Center Charleston, SC facility · other · outpatient | 1 | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 5 | Memorial Hermann Cypress Hospital Cypress, TX facility · other · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 6 | Memorial Hermann Imaging Center (Bellaire) Bellaire, TX facility · other · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 7 | Memorial Hermann Imaging Center (Cypress) Cypress, TX facility · other · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 8 | Memorial Hermann Imaging Center (Texas Medical Center) Houston, TX facility · other · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 9 | Memorial Hermann Imaging Center (Upper Kirby) Houston, TX facility · other · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 10 | Memorial Hermann Rockets Orthopedic Hospital Bellaire, TX facility · other · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 11 | Memorial Hermann-Texas Medical Center Houston, TX facility · other · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 12 | Sentara Hospitals Norfolk, VA facility · other · outpatient | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 13 | Wellstar Mcg Health, Affiliated With Med Col Augusta, GA facility · other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 14 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 2 | $4.5k | $4.5k | $863 | 19% | — | $3.7k – $5.4k |
| 15 | Aiken Regional Medical Centers North Augusta, SC fee schedule · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 16 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 17 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 18 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 19 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 20 | CORNING HOSPITAL Corning, NY facility · fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 21 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 22 | F.F. Thompson Hospital Canandaigua, NY case rate · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 23 | FAIRVIEW PARK HOSPITAL DUBLIN, GA fee schedule · outpatient | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 24 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · fee schedule · outpatient | 1 | $988 | $988 | — | — | — | $988 – $988 |
| 25 | HCA FLORIDA BAYONET POINT HOSPITAL HUDSON, FL fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
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