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
XR Orbits Complete Left Min 4 V DR
Peru, IN
See all hospitals reporting CPT 70200 →Price type
Dukes Health System LLC’s median price of $218 is 48% above the median hospital's median price ($147), higher than 69% of the 2,558 hospitals reporting CPT 70200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 36 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 | Caresource caresource in medicaid facility · other · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 2 | Anthem anthem in medicaid facility · other · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 3 | Caresource caresource hhw in medicaid facility · other · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 4 | Caresource caresource in hip facility · other · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 5 | Humana humana pathways in medicaid facility · other · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 6 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 7 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 8 | Tricare node tricare facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 9 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 10 | Humana node humana mcr adv facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 11 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 12 | Anthem anthem in hip facility · fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 13 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 14 | Optum node united optum va ccn facility · per diem · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 15 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 16 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 17 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 18 | Anthem anthem in work comp facility · other · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 19 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 20 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 21 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 22 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 23 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $230 | $230 | — | — | — | $230 – $230 |
| 24 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $258 | $258 | — | — | — | $258 – $258 |
| 25 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
Last updated: Apr 1, 2026
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