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 Rpr Blepharoptosis Levator Rescj/Advmnt Xtrnl
Prices here combine facility and professional fees. See them separately →Experimental
Based on 2,033–5,678 billing samples across every hospital reporting.
Low
$120
Average
$3.9k
Median
$3.4k
High
$27.5k
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 1673 hospitals; the 90th percentile is 5.7× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Central DuPage Hospital Winfield, IL | $9.9k | $10.9k | $6.6k | 61% | 832 | $1.5k – $21.3k |
| 2 | Northwestern Memorial Hospital Chicago, IL | $13.7k | $15.5k | $8.6k | 56% | 574–745 | $1.0k – $34.3k |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI | $4.4k | $4.1k | $2.1k | 52% | 78–231 | $660 – $9.5k |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN | $9.1k | $7.3k | $4.0k | 54% | 56–101 | $2.3k – $11.5k |
| 5 | Hartford Hospital HARTFORD, CT | $1.9k | $4.6k | $4.0k | 88% | 54–144 | $972 – $10.9k |
| 6 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL | $17.0k | $15.5k | $9.1k | 59% | 41–410 | $2.0k – $29.1k |
| 7 | Northwestern Medicine Delnor Hospital Geneva, IL | $5.9k | $7.6k | $5.2k | 68% | 38–380 | $1.2k – $17.3k |
| 8 | Palos Community Hospital Palos Heights, IL | $21.3k | $23.8k | $14.7k | 62% | 37–370 | $4.2k – $42.7k |
| 9 | Northwestern Lake Forest Hospital Lake Forest, IL | $6.1k | $10.6k | $7.3k | 69% | 28–280 | $2.9k – $22.8k |
| 10 | St Mary Mercy Livonia Livonia, MI | $2.3k | $2.2k | $544 | 24% | 22–121 | $1.2k – $5.3k |
Ask Claude or any MCP client for CPT 67904 pricing at a specific hospital — see how to connect.