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
INCISE/DRAIN TEAR SAC
Los Angeles, CA
See all hospitals reporting CPT 68420 →Price type
Dignity Community Care’s median price of $3.0k is 21% above the median hospital's median price ($2.4k), higher than 69% of the 1,505 hospitals reporting CPT 68420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 15 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 | Kaiser medicaid|< 21 fee schedule · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $344 | $344 | — | — | — | $344 – $344 |
| 3 | Anthem medicaid|all plans fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 4 | Molina medicaid|< 21 fee schedule · outpatient | $506 | $506 | — | — | — | $506 – $506 |
| 5 | Molina medicaid|> 21 fee schedule · outpatient | $506 | $506 | — | — | — | $506 – $506 |
| 6 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | Aetna medicare|all plans fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 8 | Anthem medicare|all plans fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 9 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 10 | Molina medicare|all plans fee schedule · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 11 | UnitedHealthcare medicare|all plans case rate · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 12 | Anthem commercial|exchange case rate · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 13 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 14 | Anthem commercial|all other plans case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 15 | Anthem commercial|mcs case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
Last updated: Feb 28, 2026
See Drainage of the tear sac pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.