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
$11
Average
$2.9k
Median
$2.2k
High
$12.3k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
75 hospitals; the 90th percentile is 40.0× 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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77 hospital rates
iThe hospitals that file a Optum 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 | Boston Children's Hospital Boston, MA case rate · both | 1 | $4.2k | $4.2k | — | — | 64 | $4.2k – $4.2k |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 3 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.5k | $1.4k | 40% | — | $1.8k – $5.9k |
| 4 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.5k | $1.4k | 40% | — | $1.8k – $5.9k |
| 5 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $10.3k | $9.4k | $4.3k | 45% | — | $3.8k – $17.9k |
| 6 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $2.4k | $2.2k | $260 | 12% | — | $1.9k – $2.5k |
| 7 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 3 | $2.4k | $2.2k | $260 | 12% | — | $1.9k – $2.5k |
| 8 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 3 | $2.4k | $2.2k | $260 | 12% | — | $1.9k – $2.5k |
| 9 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 3 | $2.4k | $2.2k | $260 | 12% | — | $1.9k – $2.5k |
| 10 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $2.4k | $2.2k | $260 | 12% | — | $1.9k – $2.5k |
| 11 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 3 | $2.4k | $2.2k | $260 | 12% | — | $1.9k – $2.5k |
| 12 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 3 | $2.4k | $2.2k | $260 | 12% | — | $1.9k – $2.5k |
| 13 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 3 | $2.4k | $2.2k | $260 | 12% | — | $1.9k – $2.5k |
| 14 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 3 | $2.4k | $2.2k | $260 | 12% | — | $1.9k – $2.5k |
| 15 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 3 | $5.6k | $6.9k | $5.3k | 77% | — | $354 – $22.1k |
| 16 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 20 | Childrens Hospital of Los Angeles Angeles, CA facility · per diem · outpatient | 1 | $167 | $165 | $101 | 61% | — | $13 – $332 |
| 21 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 1 | $1.1k | $1.0k | $492 | 49% | — | $252 – $1.6k |
| 22 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.1k | $798 | 37% | — | $1.2k – $3.3k |
| 24 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 25 | Fisher-Titus Medical Center Norwalk, OH facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
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