Lacrimal gland incision and drainage at Boulder Community Health

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

INCISE/DRAIN TEAR GLAND

Boulder, CO

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Pricing by billing methodology

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How this price compares nationally

Boulder Community Health’s median price of $255 is 77% below the median hospital's median price ($1.1k), higher than 10% of the 1,413 hospitals reporting CPT 68400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 68400 at Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 27 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 medicare advantage professional · case rate · both	$116	$116	—	—	—	$116 – $116
2	Anthem medicare advantage professional · fee schedule · both	$116	$116	—	—	—	$116 – $116
3	Devoted medicare advantage professional · fee schedule · both	$116	$116	—	—	—	$116 – $116
4	Humana medicare advantage professional · fee schedule · both	$116	$116	—	—	—	$116 – $116
5	Kaiser medicare advantage professional · fee schedule · both	$144	$144	—	—	—	$144 – $144
6	Anthem commercial professional · fee schedule · both	$163	$179	$26	14%	—	$163 – $219
7	Kaiser commercial professional · fee schedule · both	$183	$183	—	—	—	$183 – $183
8	MultiPlan commercial professional · fee schedule · both	$204	$204	—	—	—	$204 – $204
9	Phcs commercial professional · fee schedule · both	$204	$204	—	—	—	$204 – $204
10	Cigna commercial facility · fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
11	Anthem managed care professional · fee schedule · both	$219	$219	—	—	—	$219 – $219
12	Cigna commercial professional · fee schedule · both	$223	$223	—	—	—	$223 – $223
13	Aetna commercial professional · fee schedule · both	$255	$255	—	—	—	$255 – $255
14	Aetna ppo professional · fee schedule · both	$255	$255	—	—	—	$255 – $255
15	UnitedHealthcare commercial professional · fee schedule · both	$257	$257	—	—	—	$257 – $257
16	UnitedHealthcare medicare advantage professional · fee schedule · both	$590	$590	$474	80%	—	$116 – $1.1k
17	Aetna medicare advantage facility · case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Anthem medicare advantage facility · case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Humana medicare advantage facility · case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	UnitedHealthcare medicare advantage facility · case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Kaiser medicare advantage facility · case rate · outpatient	$1.1k	$1.1k	$5	0%	—	$1.1k – $1.1k
22	Devoted medicare advantage facility · case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Kaiser commercial facility · case rate · outpatient	$2.3k	$2.3k	$281	12%	—	$2.0k – $2.6k
24	Kaiser managed care facility · case rate · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k
25	Anthem commercial facility · case rate · outpatient	$2.4k	$2.7k	$656	24%	—	$2.1k – $3.8k

Page 1 of 2 · 27 rates

Last updated: Sep 16, 2026

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