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
Dstry eye lesn,fdr vssl tech
Low
$208
Average
$1.9k
Median
$585
High
$7.2k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 34.8× 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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30 hospital rates
iThe hospitals that file a First Health 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 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | Bexar County Hospital District San Antonio, TX case rate · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 2 | $362 | $362 | $153 | 42% | — | $208 – $515 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $585 | $585 | — | — | — | $585 – $585 |
| 5 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $585 | $585 | — | — | — | $585 – $585 |
| 6 | Legacy Emanuel Medical Center Portland, OR fee schedule · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 7 | Legacy Good Samaritan Medical Center Portland, OR fee schedule · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 8 | Legacy Meridian Park Medical Center Tualatin, OR fee schedule · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 9 | Legacy Mount Hood Medical Center Gresham, OR fee schedule · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 10 | Legacy Salmon Creek Medical Center Vancouver, WA fee schedule · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 11 | METHODIST HOSPITAL HELOTES, TX fee schedule · outpatient | 5 | $208 | $210 | $2 | 1% | — | $208 – $213 |
| 12 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX fee schedule · outpatient | 3 | $208 | $208 | — | — | — | $208 – $208 |
| 13 | METHODIST HOSPITAL LANDMARK SAN ANTONIO, TX fee schedule · outpatient | 3 | $208 | $208 | — | — | — | $208 – $208 |
| 14 | METHODIST HOSPITAL HILL COUNTRY Fredericksburg, TX fee schedule · outpatient | 3 | $208 | $208 | — | — | — | $208 – $208 |
| 15 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX fee schedule · outpatient | 5 | $208 | $210 | $2 | 1% | — | $208 – $213 |
| 16 | METHODIST HOSPITAL WESTOVER HILLS SAN ANTONIO, TX fee schedule · outpatient | 3 | $208 | $208 | — | — | — | $208 – $208 |
| 17 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX fee schedule · outpatient | 5 | $208 | $210 | $2 | 1% | — | $208 – $213 |
| 18 | METHODIST TEXSAN HOSPITAL SAN ANTONIO, TX fee schedule · outpatient | 5 | $208 | $210 | $2 | 1% | — | $208 – $213 |
| 19 | METHODIST TEXSAN HOSPITAL REHAB SAN ANTONIO, TX fee schedule · outpatient | 5 | $208 | $210 | $2 | 1% | — | $208 – $213 |
| 20 | METROPOLITAN METHODIST SAN ANTONIO, TX fee schedule · outpatient | 5 | $208 | $210 | $2 | 1% | — | $208 – $213 |
| 21 | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA other · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Orlando Health Melbourne Hospital Melbourne, FL fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Orlando Health Sebastian River Hospital Sebastian, FL fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | STONE OAK REHAB SAN ANTONIO, TX fee schedule · outpatient | 5 | $208 | $210 | $2 | 1% | — | $208 – $213 |
| 25 | St Josephs Hospital - Savannah Savannah, GA fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
← Payers reporting HCPCS G0186 · Snapshot 20261112T124536Z-e251e855