Drainage of the tear sac at Ascension Seton

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

I&D LACRIMAL SAC

Austin, TX

See all hospitals reporting CPT 68420 →

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $205 is 92% below the median hospital's median price ($2.4k), higher than 6% of the 1,505 hospitals reporting CPT 68420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 68420 at Ascension Seton

Negotiated rates from the hospital’s own file: 5 payers, 26 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	Blue Cross Blue Shield 3691_chirp blue cross star (aus) inpatient 20240901 fee schedule · both	$165	$165	—	—	—	$165 – $165
2	Blue Cross Blue Shield 4217_chirp blue cross star (aus) outpatient 20241201 fee schedule · both	$165	$165	—	—	—	$165 – $165
3	UnitedHealthcare 3735_chirp uhc star (aus) inpatient 20240901 fee schedule · both	$165	$165	—	—	—	$165 – $165
4	UnitedHealthcare 3746_chirp uhc star plus (aus) inpatient 20240901 fee schedule · both	$165	$165	—	—	—	$165 – $165
5	UnitedHealthcare 4251_chirp uhc star (aus) outpatient 20241201 fee schedule · both	$165	$165	—	—	—	$165 – $165
6	UnitedHealthcare 4262_chirp uhc star plus (aus) outpatient 20241201 fee schedule · both	$165	$165	—	—	—	$165 – $165
7	UnitedHealthcare 4309_uhc star kids (aus) outpatient 20241201 fee schedule · both	$165	$165	—	—	—	$165 – $165
8	UnitedHealthcare 4320_uhc star kids (aus) inpatient 20240901 fee schedule · both	$165	$165	—	—	—	$165 – $165
9	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$177	$177	—	—	—	$177 – $177
10	Blue Cross Blue Shield 4166_blue cross chip (aus) outpatient 20241201 fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
11	Blue Cross Blue Shield 4166_blue cross chip/star kids (aus) outpatient 20241201 fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
12	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
13	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
14	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
15	Blue Cross Blue Shield 4999_blue cross star kids (aus) outpatient 20241201 fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
16	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
17	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
18	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
19	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
20	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
21	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
22	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$253	$253	—	—	—	$253 – $253
23	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$288	$288	—	—	—	$288 – $288
24	Humana 206_humana hmo custom 20140201 other · outpatient	$969	$969	—	—	—	$969 – $969
25	Oscar 4511_oscar health plan 20251001 other · both	$1k	$1k	—	—	—	$1k – $1k

Page 1 of 2 · 26 rates

Last updated: Jan 1, 2026

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