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
HB Scleral Reinforcement Spx W/Graft
Low
$843
Average
$4.1k
Median
$3.8k
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 4.9× 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 · +25 other terms | 490 | $4.0k | $4.1k | $4.9k | 120% | 3–30 | $109 – $118.2k |
| 2 | Humana fee schedule · outpatient · +21 other terms | 344 | $3.9k | $3.4k | $1.6k | 48% | 1–10 | $1 – $12.8k |
| 3 | Aetna fee schedule · outpatient · +22 other terms | 430 | $4.2k | $5.0k | $3.9k | 78% | — | $79 – $37.3k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 332 | $4.4k | $5.3k | $4.2k | 78% | — | $1 – $39.1k |
| 5 | Cigna case rate · outpatient · +19 other terms | 309 | $6.4k | $7.2k | $5.7k | 79% | — | $1.1k – $40.7k |
| 6 | Molina fee schedule · outpatient · +16 other terms | 209 | $2.1k | $2.1k | $2.1k | 101% | — | $1 – $9.6k |
| 7 | WellCare fee schedule · outpatient · +13 other terms | 164 | $4.1k | $4.2k | $1.6k | 38% | — | $114 – $9.4k |
| 8 | Oscar case rate · outpatient · +17 other terms | 137 | $5.6k | $5.3k | $1.6k | 30% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +16 other terms | 124 | $3.9k | $3.7k | $4.7k | 124% | — | $666 – $30.2k |
| 10 | Kaiser fee schedule · outpatient · +12 other terms | 94 | $5.1k | $5.6k | $3.9k | 70% | — | $605 – $17.9k |
| 11 | Ambetter fee schedule · outpatient · +8 other terms | 79 | $6.9k | $5.6k | $2.9k | 51% | — | $841 – $10.0k |
| 12 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $3.7k | $4.1k | $958 | 23% | — | $2.0k – $5.5k |
| 13 | Aetna Better Health fee schedule · outpatient · +10 other terms | 70 | $1.1k | $1.2k | $504 | 43% | — | $561 – $3.8k |
| 14 | Devoted fee schedule · outpatient · +5 other terms | 67 | $4.1k | $3.8k | $1.1k | 30% | — | $666 – $4.6k |
| 15 | Caresource fee schedule · outpatient · +10 other terms | 50 | $3.5k | $3.0k | $1.8k | 61% | — | $1.9k – $7.1k |
| 16 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $1.0k | $712 | 68% | — | $929 – $6.0k |
| 17 | Optum fee schedule · outpatient · +15 other terms | 35 | $4.0k | $4.6k | $3.6k | 79% | — | $666 – $15.3k |
| 18 | Amerihealth Caritas case rate · outpatient · +6 other terms | 34 | $567 | $4.7k | $4.2k | 90% | — | $536 – $10.5k |
| 19 | MultiPlan case rate · outpatient · +17 other terms | 34 | $5.7k | $6.5k | $2.5k | 39% | — | $965 – $11.5k |
| 20 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $3.2k | $3.1k | $1.4k | 45% | — | $850 – $8.4k |
| 21 | Clover fee schedule · outpatient · +6 other terms | 31 | $4.4k | $4.3k | $247 | 6% | — | $3.7k – $4.7k |
| 22 | Medica case rate · outpatient · +12 other terms | 28 | $2.9k | $3.4k | $1.2k | 36% | — | $1.1k – $6.3k |
| 23 | Cigna Healthspring fee schedule · outpatient · +4 other terms | 27 | $892 | $2.3k | $1.6k | 68% | — | $892 – $4.2k |
| 24 | Tricare fee schedule · outpatient · +10 other terms | 27 | $3.8k | $3.2k | $1.1k | 35% | — | $1.7k – $4.9k |
| 25 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $7.2k | $6.8k | $2.0k | 29% | — | $1.4k – $10.4k |
← Hospitals reporting CPT 67255 · Snapshot 20261112T181611Z-3fa9fb76