Amniotic membrane placement on the eye surface, no sutures 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

COVER EYE W/MEMBRANE

Kyle, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $939 is 26% below the median hospital's median price ($1.3k), higher than 18% of the 1,500 hospitals reporting CPT 65778. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 65778 at Ascension Seton

Negotiated rates from the hospital’s own file: 9 payers, 21 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 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$581	$581	—	—	—	$581 – $581
2	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$673	$673	—	—	—	$673 – $673
3	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$775	$775	—	—	—	$775 – $775
4	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$775	$775	—	—	—	$775 – $775
5	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$831	$831	—	—	—	$831 – $831
6	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$939	$939	—	—	—	$939 – $939
7	Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient	$939	$939	—	—	—	$939 – $939
8	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$939	$939	—	—	—	$939 – $939
9	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$939	$939	—	—	—	$939 – $939
10	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$939	$939	—	—	—	$939 – $939
11	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$939	$939	—	—	—	$939 – $939
12	Tricare 4696_tricare inpatient 20251001 other · inpatient	$939	$939	—	—	—	$939 – $939
13	WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient	$939	$939	—	—	—	$939 – $939
14	WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient	$939	$939	—	—	—	$939 – $939
15	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$944	$944	—	—	—	$944 – $944
16	UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient	$957	$957	—	—	—	$957 – $957
17	UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient	$957	$957	—	—	—	$957 – $957
18	Humana 206_humana hmo custom 20140201 other · outpatient	$969	$969	—	—	—	$969 – $969
19	Oscar 4511_oscar health plan 20251001 other · both	$1k	$1k	—	—	—	$1k – $1k
20	Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
21	Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k

Last updated: Jan 1, 2026

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