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
HC PROPHYLAXIS RETINA DETACH W/O DRAINAGE,CRYO/DIATH
Low
$142
Average
$1.1k
Median
$708
High
$6.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 9.3× 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 · +30 other terms | 498 | $334 | $894 | $1.5k | 166% | — | $1 – $17.9k |
| 2 | Aetna fee schedule · outpatient · +29 other terms | 446 | $367 | $1.4k | $2.6k | 185% | — | $1 – $26.6k |
| 3 | Humana fee schedule · outpatient · +25 other terms | 357 | $300 | $542 | $1.0k | 187% | — | $1 – $12.8k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 334 | $586 | $1.2k | $2.0k | 168% | — | $1 – $22.1k |
| 5 | Cigna case rate · outpatient · +21 other terms | 309 | $3.8k | $6.6k | $8.8k | 135% | — | $1 – $54.4k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 216 | $243 | $247 | $239 | 97% | — | $1 – $1.9k |
| 7 | WellCare fee schedule · outpatient · +15 other terms | 168 | $302 | $399 | $541 | 136% | — | $114 – $4.3k |
| 8 | Oscar case rate · outpatient · +19 other terms | 137 | $2.6k | $2.7k | $715 | 27% | — | $467 – $7.5k |
| 9 | Anthem fee schedule · outpatient · +21 other terms | 125 | $523 | $705 | $703 | 100% | — | $130 – $6.3k |
| 10 | Kaiser fee schedule · outpatient · +16 other terms | 95 | $467 | $690 | $655 | 95% | — | $190 – $4.3k |
| 11 | Ambetter fee schedule · outpatient · +13 other terms | 77 | $597 | $606 | $416 | 69% | — | $148 – $2.3k |
| 12 | Aetna Better Health fee schedule · outpatient · +18 other terms | 71 | $137 | $168 | $76 | 46% | — | $119 – $491 |
| 13 | Devoted fee schedule · outpatient · +9 other terms | 67 | $303 | $304 | $38 | 12% | — | $209 – $354 |
| 14 | Optum fee schedule · outpatient · +19 other terms | 57 | $276 | $344 | $200 | 58% | — | $189 – $1.2k |
| 15 | Superior Healthplan case rate · outpatient · +5 other terms | 46 | $2.4k | $2.3k | $295 | 13% | — | $449 – $2.4k |
| 16 | Healthcare Highways case rate · outpatient · +1 other terms | 42 | $5.8k | $6.5k | $5.1k | 79% | — | $1.6k – $14.6k |
| 17 | Caresource fee schedule · outpatient · +11 other terms | 38 | $297 | $550 | $1.1k | 191% | — | $1 – $4.3k |
| 18 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $396 | $387 | $185 | 48% | — | $108 – $1.1k |
| 19 | MultiPlan case rate · outpatient · +19 other terms | 33 | $4.0k | $5.6k | $2.8k | 50% | — | $2.5k – $11.5k |
| 20 | Amerihealth Caritas case rate · outpatient · +9 other terms | 32 | $496 | $1.8k | $1.3k | 73% | — | $196 – $3.3k |
| 21 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 32 | $189 | $195 | $85 | 43% | — | $114 – $314 |
| 22 | Clover fee schedule · outpatient · +8 other terms | 30 | $334 | $888 | $1.3k | 151% | — | $286 – $4.4k |
| 23 | Tricare fee schedule · outpatient · +11 other terms | 29 | $288 | $977 | $1.7k | 174% | — | $200 – $5.1k |
| 24 | Medica case rate · outpatient · +11 other terms | 28 | $849 | $1.2k | $1.1k | 96% | — | $283 – $4.5k |
| 25 | Medicare fee schedule · outpatient · +12 other terms | 26 | $209 | $730 | $1.2k | 168% | — | $190 – $4.2k |
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