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
Reinforce/graft eye wall
Devils Lake, ND
See all hospitals reporting CPT 67255 →Price type
Altru Hospital Devils Lake’s median price of $4.9k is 19% above the median hospital's median price ($4.1k), higher than 69% of the 1,478 hospitals reporting CPT 67255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid managed care plan facility · fee schedule · outpatient | $971 | $971 | $559 | 58% | — | $413 – $1.5k |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $971 | $971 | $559 | 58% | — | $413 – $1.5k |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $1.3k | $1.3k | $578 | 44% | — | $745 – $1.9k |
| 4 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $1.9k | $1.9k | $377 | 20% | — | $1.5k – $2.3k |
| 5 | Medica all commercial plans facility · fee schedule · outpatient | $3.2k | $3.2k | $2.0k | 62% | — | $1.2k – $5.2k |
| 6 | Aetna medicare managed care plan facility · fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $5k | $5.7k | $1.4k | 24% | — | $4.4k – $7.6k |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $5.8k | $5.8k | $844 | 15% | — | $4.9k – $6.6k |
| 9 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
| 10 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $9.1k | $9.1k | $1.8k | 20% | — | $7.3k – $10.9k |
Last updated: Mar 1, 2026
See Scleral reinforcement surgery with graft pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.