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
Ocular Surface Reconstruction Amniotic Membrane
Low
$729
Average
$4.5k
Median
$4.0k
High
$16.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 4.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 482 | $3.8k | $4.7k | $5.3k | 113% | — | $134 – $110.8k |
| 2 | Aetna fee schedule · outpatient · +23 other terms | 427 | $4.2k | $5.4k | $4.9k | 90% | — | $79 – $53.3k |
| 3 | Humana fee schedule · outpatient · +21 other terms | 347 | $3.8k | $3.4k | $1.7k | 49% | — | $1 – $16.7k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 328 | $6.1k | $7.1k | $4.7k | 67% | — | $1 – $58.9k |
| 5 | Cigna case rate · outpatient · +19 other terms | 311 | $7.3k | $8.7k | $5.7k | 66% | — | $785 – $40.7k |
| 6 | Molina fee schedule · outpatient · +16 other terms | 206 | $2.1k | $2.5k | $1.8k | 75% | — | $1 – $9.1k |
| 7 | WellCare fee schedule · outpatient · +13 other terms | 165 | $3.9k | $4.0k | $1.4k | 35% | — | $426 – $8.8k |
| 8 | Oscar case rate · outpatient · +14 other terms | 137 | $7.2k | $6.9k | $1.9k | 28% | — | $3.1k – $13.8k |
| 9 | Anthem fee schedule · outpatient · +19 other terms | 124 | $3.5k | $3.9k | $4.7k | 120% | — | $313 – $28.8k |
| 10 | Kaiser fee schedule · outpatient · +16 other terms | 93 | $4.8k | $5.9k | $4.9k | 83% | — | $360 – $27.5k |
| 11 | Ambetter fee schedule · outpatient · +8 other terms | 78 | $6.5k | $5.4k | $2.7k | 50% | — | $725 – $9.5k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $5.1k | $5.5k | $562 | 10% | — | $3.3k – $6.3k |
| 13 | Devoted fee schedule · outpatient · +7 other terms | 68 | $3.9k | $3.6k | $1.1k | 30% | — | $574 – $4.4k |
| 14 | Aetna Better Health fee schedule · outpatient · +10 other terms | 65 | $1.8k | $1.8k | $483 | 26% | — | $679 – $4.4k |
| 15 | Caresource fee schedule · outpatient · +9 other terms | 49 | $3.7k | $3.4k | $1.5k | 45% | — | $1.5k – $6.7k |
| 16 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.1k | $819 | 75% | — | $929 – $5.7k |
| 17 | MultiPlan case rate · outpatient · +18 other terms | 34 | $7.1k | $7.6k | $2.6k | 33% | — | $1.3k – $11.6k |
| 18 | Optum fee schedule · outpatient · +15 other terms | 34 | $3.7k | $5.2k | $4.8k | 93% | — | $574 – $19.6k |
| 19 | Amerihealth Caritas case rate · outpatient · +6 other terms | 33 | $797 | $6.2k | $5.0k | 81% | — | $753 – $14.8k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $4.6k | $4.5k | $2.1k | 46% | — | $1.4k – $13.0k |
| 21 | Clover fee schedule · outpatient · +6 other terms | 32 | $4.1k | $4.1k | $249 | 6% | — | $3.5k – $4.6k |
| 22 | Tricare fee schedule · outpatient · +10 other terms | 31 | $3.6k | $9.7k | $16.2k | 166% | — | $668 – $50k |
| 23 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 28 | $1.5k | $2.6k | $1.2k | 45% | — | $1.5k – $4.2k |
| 24 | Medica case rate · outpatient · +9 other terms | 28 | $3.5k | $4.0k | $1.6k | 41% | — | $1.4k – $8.2k |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $9.6k | $9.1k | $2.6k | 29% | — | $1.9k – $13.9k |
← Hospitals reporting CPT 65780 · Snapshot 20261112T181611Z-3fa9fb76