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
EXPLORE/IRRIGATE TEAR DUCTS
Merced, CA
See all hospitals reporting CPT 68840 →Price type
Dignity Health’s median price of $368 is about the same as the median hospital's median price ($365), higher than 50% of the 1,586 hospitals reporting CPT 68840. 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, 18 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 | $178 | $178 | — | — | — | $178 – $178 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 3 | Molina medicaid|< 21 fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 4 | Molina medicaid|> 21 fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 5 | Anthem medicaid|< 21 fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 6 | Anthem medicaid|> 21 fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 7 | Aetna medicare|all plans fee schedule · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 8 | Anthem medicare|all plans fee schedule · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 9 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 10 | Humana medicare|all plans fee schedule · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 11 | Kaiser medicare|all plans fee schedule · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 12 | UnitedHealthcare medicare|all plans case rate · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 13 | Anthem commercial|exchange case rate · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 14 | Aetna commercial|all other plans case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 15 | Aetna commercial|hmo case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 16 | Aetna commercial|ppo case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 17 | Anthem commercial|all other plans case rate · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 18 | Anthem commercial|mcs case rate · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
Last updated: Feb 28, 2026
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