Eyelid droop repair using levator muscle surgery at Methodist Hospital

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

Repair of blepharoptosis; (tarso) levator resection or advancement, external approach

SAN ANTONIO, TX

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How this price compares nationally

Methodist Hospital’s median price of $3.7k is 35% above the median hospital's median price ($2.7k), higher than 67% of the 1,676 hospitals reporting CPT 67904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 67904 at Methodist Hospital

Negotiated rates from the hospital’s own file: 11 payers, 48 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	First Health chip per diem · outpatient	$365	$365	—	—	—	$365 – $365
2	First Health chipperinate per diem · outpatient	$365	$365	—	—	—	$365 – $365
3	First Health mcdstar per diem · outpatient	$365	$365	—	—	—	$365 – $365
4	UnitedHealthcare mcd fee schedule · outpatient	$698	$698	—	—	—	$698 – $698
5	First Health mcdstarkids fee schedule · outpatient	$712	$712	—	—	—	$712 – $712
6	First Health starplus fee schedule · outpatient	$712	$712	—	—	—	$712 – $712
7	Molina chip fee schedule · outpatient	$768	$768	—	—	—	$768 – $768
8	Molina mcdstar fee schedule · outpatient	$768	$768	—	—	—	$768 – $768
9	Molina star+plus fee schedule · outpatient	$768	$768	—	—	—	$768 – $768
10	Molina starkids fee schedule · outpatient	$768	$768	—	—	—	$768 – $768
11	Humana mgmcd fee schedule · outpatient	$873	$873	—	—	—	$873 – $873
12	Aetna Better Health chip fee schedule · outpatient	$882	$882	—	—	—	$882 – $882
13	Aetna Better Health chipepo fee schedule · outpatient	$882	$882	—	—	—	$882 – $882
14	Aetna Better Health chipperinate fee schedule · outpatient	$882	$882	—	—	—	$882 – $882
15	Aetna Better Health chpfc fee schedule · outpatient	$882	$882	—	—	—	$882 – $882
16	Aetna Better Health star fee schedule · outpatient	$882	$882	—	—	—	$882 – $882
17	Aetna Better Health star+plus fee schedule · outpatient	$882	$882	—	—	—	$882 – $882
18	Aetna Better Health starkids fee schedule · outpatient	$882	$882	—	—	—	$882 – $882
19	Aetna qhphix case rate · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
20	WellCare mcrhmo fee schedule · outpatient	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
21	WellCare mcrpos fee schedule · outpatient	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
22	WellCare mcrppo fee schedule · outpatient	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
23	WellCare mcrsnp fee schedule · outpatient	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
24	WellCare pffs fee schedule · outpatient	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
25	First Health comm case rate · outpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k

Page 1 of 2 · 48 rates

Last updated: May 1, 2026

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