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
Low
$10
Average
$4.0k
Median
$2.8k
High
$46.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1227 hospitals; the 90th percentile is 8.6× 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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1,692 hospital rates
iThe hospitals that file a Aetna 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 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $7.1k | $6.8k | $1.9k | 28% | 96 | $3.0k – $9.1k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 6 | $10.6k | $12.5k | $6.3k | 50% | 70–106 | $6.7k – $22.8k |
| 3 | Wills Eye Hospital Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 14 | $1.5k – $1.5k |
| 4 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 6 | $15.0k | $15.4k | $7.2k | 47% | 6–60 | $5.3k – $25.1k |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $1.9k | $1.9k | — | — | 4–40 | $1.9k – $1.9k |
| 6 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $5.2k | $1.0k | 20% | 4–40 | $4.6k – $6.9k |
| 7 | Inova Fairfax Hospital Falls Church, VA other · both | 2 | $7.8k | $7.8k | $1.6k | 20% | 4–40 | $6.3k – $9.4k |
| 8 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $16.2k | $21.1k | $12.9k | 61% | 4–40 | $9.2k – $42.7k |
| 9 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.8k | $4.8k | — | — | 2–20 | $4.8k – $4.8k |
| 10 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.8k | $4.8k | — | — | 2–20 | $4.8k – $4.8k |
| 11 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $996 | $996 | — | — | 2–20 | $996 – $996 |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 13 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN percent of total billed charges · outpatientfrom % of charges | 1 | $6.7k | $6.7k | — | — | 1–10 | $6.7k – $6.7k |
| 14 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $784 | $784 | — | — | 1–10 | $784 – $784 |
| 15 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
| 16 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
| 17 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $1.8k | $150 | 8% | 1–10 | $1.7k – $2.0k |
| 18 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $2.6k | $1.9k | 73% | 1–10 | $1.1k – $5.2k |
| 19 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $150 | 12% | 1–10 | $1.1k – $1.4k |
| 20 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $2.2k | $1.7k | 77% | 1–10 | $977 – $4.7k |
| 21 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $2.4k | $1.9k | $713 | 38% | 1–10 | $629 – $2.4k |
| 22 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 23 | Mon Health Medical Center Morgantown, WV other · outpatient | 1 | $793 | $793 | — | — | 1–10 | $793 – $793 |
| 24 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 25 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
← Payers reporting CPT 67904 · Snapshot 20261111T120946Z-9134e7f7