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
LENS IOL ACRYSOF SINGLE-PIECE SA60AT 35D EA 1 SA60AT.350
The hospitals that file a Premera 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.
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37 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $1,058 | $214.50 – $3,262 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $1,126 | $228.25 – $3,471 |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $1,165 | $111.84 – $2,567 |
| 4 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $903.44 | $683.69 – $1,007 |
| 5 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $147.08 | $60.89 – $196.10 |
| 6 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $255.54 | $49.00 – $1,044 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763.00 | $763.00 – $763.00 |
| 8 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $255.54 | $49.00 – $1,044 |
| 9 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · outpatient | 1 | $6,585 | $6,585 – $6,585 |
| 10 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $261.92 | $50.00 – $1,065 |
| 11 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $264.95 | $50.00 – $1,065 |
| 12 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $126.67 | $24.39 – $519.51 |
| 13 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $222.01 | $42.74 – $910.26 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $125.61 | $24.18 – $515.03 |
| 15 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · outpatient | 1 | $2.46 | $2.46 – $2.46 |
| 16 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · outpatient | 1 | $3.44 | $3.44 – $3.44 |
| 17 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $266.23 | $50.00 – $1,065 |
| 18 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $228.16 | $43.75 – $931.88 |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $185.13 | $35.50 – $756.15 |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $185.13 | $35.50 – $756.15 |
| 21 | Saint Marys Hospital Waterbury, CT facility · other · outpatient | 1 | $8,206 | $8,206 – $8,206 |
| 22 | Samaritan Hospital Troy, NY facility · other · outpatient | 1 | $20,178 | $20,178 – $20,178 |
| 23 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $147.24 | $27.50 – $585.75 |
| 24 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · outpatient | 1 | $2,358 | $2,358 – $2,358 |
| 25 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $489.19 | $382.19 – $630.80 |
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