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
PR PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES
Quincy, IL
See all hospitals reporting CPT 65778 →Price type
Blessing Hospital’s median price of $915 is 28% below the median hospital's median price ($1.3k), higher than 16% of the 1,507 hospitals reporting CPT 65778. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 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 | Aetna commercial professional · case rate · both | $36 | $36 | — | — | — | $36 – $36 |
| 2 | UnitedHealthcare medicare advantage professional · case rate · both | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Blue Cross Blue Shield commercial professional · fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 4 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $770 | $770 | — | — | — | $770 – $770 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $783 | $783 | — | — | — | $783 – $783 |
| 6 | Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges | $785 | $785 | — | — | — | $785 – $785 |
| 7 | Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges | $785 | $785 | — | — | — | $785 – $785 |
| 8 | Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges | $915 | $915 | — | — | — | $915 – $915 |
| 9 | Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges | $915 | $915 | — | — | — | $915 – $915 |
| 10 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $915 | $915 | — | — | — | $915 – $915 |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $915 | $915 | — | — | — | $915 – $915 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $975 | $975 | — | — | — | $975 – $975 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $975 | $975 | — | — | — | $975 – $975 |
| 14 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $975 | $975 | — | — | — | $975 – $975 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $975 | $975 | — | — | — | $975 – $975 |
| 16 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $975 | $975 | — | — | — | $975 – $975 |
| 17 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $975 | $975 | — | — | — | $975 – $975 |
| 18 | Humana commercial professional · percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | UnitedHealthcare commercial professional · fee schedule · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Bcbs Il commercial professional · fee schedule · both | $1.5k | $1.5k | $1.4k | 93% | — | $108 – $2.9k |
Last updated: Jun 8, 2026
See Amniotic membrane placement on the eye surface, no sutures pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.