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
Rpr Lac Cjnc W/WO Nonperfor Lac Sclera Dir Clsr
Low
$1
Average
$674
Median
$295
High
$2.3k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 43.6× 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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32 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 2 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $960 | $960 | — | — | — | $960 – $960 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 7 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 9 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 10 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 11 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $457 | $457 | — | — | — | $457 – $457 |
| 13 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 14 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $47 | $62 | $22 | 35% | — | $47 – $93 |
| 16 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 3 | $2.0k | $1.5k | $819 | 56% | — | $297 – $2.1k |
| 17 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 3 | $2.0k | $1.5k | $819 | 56% | — | $297 – $2.1k |
| 18 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 19 | Montefiore Mount Vernon Hospital Mount Vernon, NY fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Montefiore New Rochelle Hospital New Rochelle, NY fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | North Memorial Health Care Robbinsdale, MN professional · fee schedule · both | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 22 | Ohio State University Hospitals Columbus, OH fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 24 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 25 | Sharp Chula Vista Medical Center Chula Vista, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
← Payers reporting CPT 65270 · Snapshot 20261112T181611Z-3fa9fb76