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
DRAIN GLAUCOMA THK.9MM AHMED SILICONE 16X13MM .635MM .305MM VALVE TAPER PROFILE PLATE FLEX
Low
$0
Average
$3.3k
Median
$2.6k
High
$14.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
468 hospitals; the 90th percentile is 9.9× 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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617 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $441 | $1.3k | $1.7k | 130% | 60–600 | $27 – $6.0k |
| 2 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 50 | $2.6k | $2.6k | — | — | 45–126 | $2.6k – $2.6k |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $114 | $1.0k | $1.5k | 149% | 22–220 | $114 – $6.2k |
| 4 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 1 | $7.9k | $7.9k | — | — | 17–170 | $7.9k – $7.9k |
| 5 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $3.6k | $3.8k | $1.7k | 44% | 15–150 | $790 – $6.1k |
| 6 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $2.1k | $1.9k | $858 | 45% | 14–140 | $750 – $3.6k |
| 7 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $2.4k | $2.5k | $1.1k | 44% | 12–120 | $1.1k – $4.0k |
| 8 | Piedmont Walton Monroe, GA percent of total billed charges · bothfrom % of charges | 2 | $5.0k | $5.1k | $1.5k | 30% | 7–70 | $3.1k – $8.1k |
| 9 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2.6k | $2.9k | $1.1k | 37% | 6–60 | $1.6k – $5.9k |
| 10 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2.6k | $2.9k | $1.1k | 37% | 6–60 | $1.6k – $5.9k |
| 11 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | 5–50 | $1.8k – $1.8k |
| 12 | Hillsdale Hospital Hillsdale, MI percent of total billed charges · bothfrom % of charges | 1 | $2.7k | $13.0k | $17.9k | 138% | 4–40 | $2.6k – $44.0k |
| 13 | Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $3.9k | $3.4k | $1.4k | 42% | 4–40 | $1.1k – $5.5k |
| 14 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $3.0k | $3.4k | $1.7k | 50% | 3–30 | $725 – $6.1k |
| 15 | Pender Memorial Hospital, Incorporated Burgaw, NC percent of total billed charges · outpatientfrom % of charges | 3 | $2.7k | $2.2k | $681 | 31% | 3–30 | $1.3k – $2.7k |
| 16 | Crestview Hospital Corporation Crestview, FL facility · other · outpatient | 7 | $1.3k | $1.3k | — | — | 2–20 | $1.3k – $1.3k |
| 17 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $932 | $2.7k | $2.3k | 88% | 2–20 | $144 – $5.6k |
| 18 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 2 | $7.0k | $7.0k | — | — | 2–20 | $7.0k – $7.0k |
| 19 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 3 | $168 | $175 | $108 | 62% | 1–10 | $12 – $377 |
| 20 | Highsmith-Rainey Specialty Hospital Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 21 | Saint John Hospital Leavenworth, KS percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 22 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA case rate · outpatient | 3 | $6.3k | $6.1k | $297 | 5% | — | $5.7k – $6.3k |
| 24 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $2.0k | $4.0k | $2.5k | 63% | — | $2.0k – $7.1k |
| 25 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $1.6k | $1.8k | $316 | 18% | — | $1.5k – $2.2k |
← Payers reporting HCPCS C1783 · Snapshot 20261111T120946Z-9134e7f7