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
$4.5k
Median
$3.7k
High
$34.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
833 hospitals; the 90th percentile is 6.5× 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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1,103 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | 12 | $6.7k | $10.8k | $7.1k | 65% | 272 | $1.5k – $21.3k |
| 2 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $10.5k | $13.2k | $5.1k | 39% | 92 | $9.9k – $22.0k |
| 3 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 2 | $2.4k | $2.4k | — | — | 32 | $2.4k – $2.4k |
| 4 | Massachusetts Eye and Ear Boston, MA other · outpatient | 1 | $3.1k | $3.1k | — | — | 16 | $3.1k – $3.1k |
| 5 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · outpatient | 2 | $2.1k | $2.1k | $262 | 12% | 13–31 | $1.2k – $2.4k |
| 6 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 7 | $5.3k | $9.3k | $7.2k | 78% | 9–90 | $4.8k – $22.8k |
| 7 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 7 | $17.2k | $18.9k | $3.8k | 20% | 9–90 | $16.3k – $29.1k |
| 8 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 6 | $4.9k | $5.2k | $2.0k | 39% | 8–80 | $2.7k – $9.7k |
| 9 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 6 | $7.4k | $12.6k | $11.9k | 94% | 8–80 | $4.2k – $42.7k |
| 10 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 4 | $2.2k | $1.9k | $427 | 22% | 4–40 | $1.2k – $2.2k |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN other · outpatient | 3 | $8.2k | $7.8k | $1.1k | 14% | 3–30 | $6.1k – $8.7k |
| 12 | Tufts Medical Center BOSTON, MA other · both | 3 | $12.0k | $12.0k | — | — | 3–30 | $12.0k – $12.0k |
| 13 | University of Florida Health Gainesville, FL facility · case rate · outpatient | 3 | $3.8k | $3.8k | $506 | 13% | 3–30 | $3.1k – $4.4k |
| 14 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $6.4k | $4.3k | 67% | 3–30 | $2.7k – $12.5k |
| 15 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.4k | $2.4k | $1.8k | 72% | 2–20 | $686 – $4.2k |
| 16 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.4k | $2.4k | $1.8k | 72% | 2–20 | $686 – $4.2k |
| 17 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · outpatient | 4 | $20.8k | $18.5k | $9.8k | 53% | 2–20 | $1.1k – $31.2k |
| 18 | Northwestern Lake Forest Hospital Grayslake, IL other · outpatient | 2 | $2.9k | $2.9k | — | — | 2–20 | $2.9k – $2.9k |
| 19 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL other · outpatient | 2 | $2.7k | $2.7k | $670 | 25% | 2–20 | $2.0k – $3.4k |
| 20 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.9k | $7.9k | $104 | 1% | 2–20 | $7.8k – $8.0k |
| 21 | St Mary Mercy Livonia Livonia, MI facility · other · outpatient | 2 | $1.8k | $1.8k | $497 | 27% | 2–20 | $1.3k – $2.3k |
| 22 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 23 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN other · outpatient | 4 | $10.3k | $9.7k | $2.0k | 21% | 1–10 | $6.1k – $11.5k |
| 24 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN other · outpatient | 2 | $8.3k | $8.0k | $409 | 5% | 1–10 | $7.4k – $8.3k |
| 25 | Highsmith-Rainey Specialty Hospital Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
← Payers reporting CPT 67904 · Snapshot 20261111T120946Z-9134e7f7