APC 5501
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
Level 1 Extraocular, Repair, and Plastic Eye Procedures
Loris, SC
See all hospitals reporting APC 5501 →Price type
McLeod Health’s median price of $286 is 15% below the median hospital's median price ($338), higher than 9% of the 423 hospitals reporting APC 5501. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 10 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 | Tricare dha case rate · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 3 | Medicare medicare case rate · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 4 | UnitedHealthcare medicare advantage case rate · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 5 | Aetna medicare advantage case rate · outpatient | $279 | $279 | — | — | — | $279 – $279 |
| 6 | Clover medicare advantage case rate · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 7 | Humana medicare advantage case rate · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 8 | WellCare medicare advantage case rate · outpatient | $291 | $291 | — | — | — | $291 – $291 |
| 9 | Molina medicare advantage case rate · outpatient | $290 | $370 | $114 | 31% | — | $290 – $531 |
| 10 | Ambetter medicare advantage case rate · outpatient | $490 | $490 | — | — | — | $490 – $490 |
Last updated: Jul 20, 2026
See Eye muscle repair surgery, basic level pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.