Silicone oil implant used in eye surgery

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

EYE IMPLANT TIRE 7MM X 2.5MM X 9MM SILICONE

Payers reporting HCPCS C1814

Payer pricing summary

Low

$131

Average

$1.1k

Median

$907

High

$5.0k

Payer rate distribution

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#
1	Bcbs Id percent of total billed charges · bothfrom % of charges	5	$130	$131	$2	1%	1–10	$130 – $134
2	UnitedHealthcare fee schedule · outpatient · +17 other terms	56	$1.3k	$1.4k	$860	61%	—	$1 – $8.3k
3	Aetna fee schedule · outpatient · +18 other terms	35	$1.1k	$1.5k	$1.2k	77%	—	$1 – $7.1k
4	Cigna fee schedule · outpatient · +14 other terms	34	$1.7k	$1.9k	$880	46%	—	$661 – $6.9k
5	Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +2 other terms	33	$882	$837	$264	32%	—	$350 – $1.3k
6	MultiPlan fee schedule · inpatient · +11 other terms	31	$2.2k	$3.1k	$1.8k	58%	—	$1.2k – $9.6k
7	Blue Cross Blue Shield fee schedule · inpatient · +15 other terms	27	$1.6k	$1.8k	$1.3k	74%	—	$647 – $10.7k
8	Wellmark facility · percent of total billed charges · bothfrom % of charges	27	$574	$821	$645	79%	—	$276 – $3.0k
9	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$1.4k	$1.2k	$220	18%	—	$920 – $1.7k
10	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	25	$326	$349	$116	33%	—	$163 – $744
11	Humana other · outpatient · +11 other terms	24	$369	$527	$392	74%	—	$191 – $2.2k
12	Premera facility · percent of total billed charges · bothfrom % of charges · +1 other terms	22	$709	$857	$671	78%	—	$276 – $3.0k
13	Regence facility · percent of total billed charges · bothfrom % of charges · +5 other terms	22	$626	$830	$656	79%	—	$276 – $3.0k
14	Beechstreet percent of total billed charges · bothfrom % of charges · +2 other terms	21	$1.4k	$1.7k	$834	49%	—	$1.0k – $3.2k
15	First Health fee schedule · inpatient · +10 other terms	21	$1.9k	$2.4k	$1.0k	41%	—	$1.1k – $6.4k
16	Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms	21	$255	$483	$579	120%	—	$45 – $2.7k
17	Aetna Better Health other · outpatient · +4 other terms	19	$337	$466	$412	88%	—	$197 – $2.2k
18	Amerihealth Caritas other · outpatient · +5 other terms	19	$337	$465	$411	89%	—	$197 – $2.2k
19	Molina facility · case rate · outpatient · +12 other terms	18	$192	$369	$394	107%	—	$128 – $1.6k
20	Anthem fee schedule · outpatient · +11 other terms	17	$1.4k	$1.4k	$730	52%	—	$334 – $2.8k
21	Caresource facility · case rate · outpatient · +10 other terms	15	$185	$199	$46	23%	—	$124 – $315
22	Kaiser fee schedule · outpatient · +10 other terms	15	$1.4k	$1.3k	$462	36%	—	$390 – $2.2k
23	Medica facility · percent of total billed charges · bothfrom % of charges · +3 other terms	15	$1.0k	$822	$197	24%	—	$449 – $1.3k
24	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +2 other terms	12	$112	$141	$54	39%	—	$73 – $266
25	Bcbs Nj percent of total billed charges · outpatientfrom % of charges	12	$447	$530	$218	41%	—	$447 – $1.4k

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