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
Plastic eye prosth custom
Low
$210
Average
$2.7k
Median
$2.2k
High
$6.7k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 8.4× 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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42 hospital rates
iThe hospitals that file a MultiPlan 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $642 | $642 | — | — | — | $642 – $642 |
| 5 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $642 | $642 | — | — | — | $642 – $642 |
| 6 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 1 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 7 | Grossmont Hospital Corporation La Mesa, CA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 11 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | $28 | 3% | — | $1.0k – $1.1k |
| 14 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 1 | $989 | $989 | — | — | — | $989 – $989 |
| 15 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · inpatientfrom % of charges | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 17 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · outpatientfrom % of charges | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 18 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 19 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 20 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · inpatientfrom % of charges | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 21 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · outpatientfrom % of charges | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 22 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · inpatientfrom % of charges | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 23 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · outpatientfrom % of charges | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 24 | Northside Hospital, Inc. Canton, GA percent of total billed charges · inpatientfrom % of charges | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 25 | Northside Hospital, Inc. Canton, GA percent of total billed charges · outpatientfrom % of charges | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
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