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
$343
Average
$4.2k
Median
$3.6k
High
$21.6k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
369 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.
Filter by billing methodology
Filter by billing class
573 hospital rates
iThe hospitals that file a Anthem 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 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 3 | $4.3k | $3.7k | $950 | 26% | 3–30 | $2.4k – $4.4k |
| 2 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $7.3k | $7.4k | $303 | 4% | 3–30 | $7.2k – $7.9k |
| 3 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $972 | $972 | — | — | 2–20 | $972 – $972 |
| 4 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | 2–20 | $2.9k – $2.9k |
| 5 | Inova Fairfax Hospital Falls Church, VA other · both | 1 | $8.0k | $8.0k | $1.6k | 20% | 2–20 | $6.4k – $9.6k |
| 6 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $6.0k | $6.7k | $3.1k | 46% | 2–20 | $2.8k – $12.9k |
| 7 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 3 | $2.9k | $2.6k | $662 | 26% | 1–10 | $1.6k – $3.2k |
| 8 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $6.5k | $6.5k | — | — | 1–10 | $6.5k – $6.5k |
| 9 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 10 | Saint Marys Hospital Waterbury, CT facility · other · outpatient | 4 | $8.5k | $8.0k | $1.4k | 17% | 1–10 | $2.8k – $8.5k |
| 11 | Samaritan Hospital Troy, NY facility · other · outpatient | 3 | $6.8k | $6.5k | $953 | 15% | 1–10 | $2.9k – $6.8k |
| 12 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · outpatient | 1 | $2.1k | $2.1k | $236 | 11% | 1–10 | $1.9k – $2.4k |
| 13 | TWIN CITY HOSPITAL CORPORATION Dennison, OH percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 14 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | $1.4k | 42% | 1–10 | $1.9k – $4.7k |
| 15 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 3 | $6.3k | $5.5k | $1.9k | 35% | 1–10 | $2.4k – $7.1k |
| 16 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $5.7k | $4.9k | $1.9k | 39% | — | $2.2k – $6.7k |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $1.5k | $1.4k | $722 | 50% | — | $491 – $2.4k |
| 19 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $3.1k | $3.1k | $503 | 16% | — | $2.6k – $3.6k |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $2.5k | $2.6k | $885 | 35% | — | $1.5k – $3.6k |
| 21 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 22 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $795 | $889 | $415 | 47% | — | $378 – $1.7k |
| 23 | Adena Health System Chillicothe, OH facility · case rate · outpatient | 4 | $6.7k | $6.8k | $863 | 13% | — | $5.9k – $8.0k |
| 24 | Alta Bates Summit Medical Center Oakland, CA facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 25 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · fee schedule · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
← Payers reporting CPT 67904 · Snapshot 20261111T120946Z-9134e7f7