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
Orbital prosthesis
Low
$93
Average
$2.4k
Median
$2.0k
High
$12.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 31.2× 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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24 hospital rates
iThe hospitals that file a Cigna 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 2 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 3 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 4 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 5 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 6 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 7 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 8 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 2 | $121 | $121 | — | — | — | $121 – $121 |
| 10 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 2 | $149 | $149 | — | — | — | $149 – $149 |
| 11 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 12 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 2 | $106 | $106 | — | — | — | $106 – $106 |
| 13 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 2 | $140 | $140 | — | — | — | $140 – $140 |
| 14 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 2 | $143 | $143 | — | — | — | $143 – $143 |
| 15 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 2 | $93 | $93 | — | — | — | $93 – $93 |
| 16 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 17 | Penn State Health Hampden Medical Center Enola, PA percent of total billed charges · bothfrom % of charges | 1 | $859 | $859 | — | — | — | $859 – $859 |
| 18 | Penn State Health Holy Spirit Medical Center Camp Hill, PA percent of total billed charges · bothfrom % of charges | 1 | $665 | $665 | — | — | — | $665 – $665 |
| 19 | Penn State Health Lancaster Medical Center Lancaster, PA percent of total billed charges · bothfrom % of charges | 1 | $859 | $859 | — | — | — | $859 – $859 |
| 20 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $895 | $895 | — | — | — | $895 – $895 |
| 21 | Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 22 | St Joseph Regional Health Network Reading, PA percent of total billed charges · bothfrom % of charges | 1 | $859 | $859 | — | — | — | $859 – $859 |
| 23 | The Aroostook Medical Center Isle, ME professional · fee schedule · outpatient | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 24 | The Cleveland Clinic Foundation Brunswick, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
← Payers reporting HCPCS D5915 · Snapshot 20261112T124536Z-e251e855