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
Dx Ophthalmic US Ant Segment Immersion Uni/Bi
Low
$44
Average
$166
Median
$113
High
$543
Each hospital's average Medica rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 6.4× 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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74 hospital rates
iThe hospitals that file a Medica 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 | Fairview Health Services Edina, MN other · inpatient | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 2 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $37 | $44 | $21 | 47% | — | $26 – $77 |
| 3 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $37 | $44 | $21 | 47% | — | $26 – $77 |
| 4 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $69 | $92 | $47 | 51% | — | $31 – $159 |
| 5 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $127 | $127 | $8 | 6% | — | $119 – $135 |
| 7 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 8 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 9 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 10 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · case rate · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 11 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · case rate · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 12 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · case rate · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 13 | Essentia Health St. Mary's Medical Center Duluth, MN facility · case rate · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 14 | Essentia Health Virginia 901 9th St N Virginia, MN facility · case rate · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 15 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 8 | $98 | $114 | $70 | 61% | — | $24 – $244 |
| 16 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 17 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 7 | $358 | $330 | $70 | 21% | — | $209 – $397 |
| 18 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 7 | $383 | $352 | $79 | 23% | — | $208 – $425 |
| 19 | Fairview Health Services Edina, MN case rate · outpatient | 5 | $380 | $377 | $18 | 5% | — | $351 – $403 |
| 20 | Fairview Health Services Edina, MN fee schedule · both | 8 | $98 | $114 | $70 | 61% | — | $24 – $244 |
| 21 | Fairview Health Services Edina, MN fee schedule · outpatient | 3 | $103 | $104 | $7 | 7% | — | $96 – $112 |
| 22 | Fairview Health Services Minneapolis, MN case rate · outpatient | 5 | $380 | $377 | $18 | 5% | — | $351 – $403 |
| 23 | Fairview Health Services Minneapolis, MN fee schedule · both | 8 | $98 | $114 | $70 | 61% | — | $24 – $244 |
| 24 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 3 | $103 | $104 | $7 | 7% | — | $96 – $112 |
| 25 | Fairview Health Services Burnsville, MN case rate · outpatient | 5 | $380 | $377 | $18 | 5% | — | $351 – $403 |
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