APC 5491
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 Intraocular Procedures
Cleveland, OH
See all hospitals reporting APC 5491 →Price type
Metrohealth System’s median price of $2.1k is 15% below the median hospital's median price ($2.4k), higher than 5% of the 475 hospitals reporting APC 5491. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 21 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 dual medicare/medicaid managed care plan facility · other · outpatient | $1.7k | $1.7k | — | — | 30 | $1.7k – $1.7k |
| 2 | UnitedHealthcare medicaid managed care plan facility · other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 3 | Molina medicaid managed care plan facility · other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 4 | Cigna medicare managed care plan facility · other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 5 | Caresource medicaid managed care plan facility · other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 6 | Humana all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 7 | Aetna medicare managed care plan facility · other · outpatient | $2.1k | $2.1k | — | — | 74 | $2.1k – $2.1k |
| 8 | Humana medicare managed care facility · other · outpatient | $2.1k | $2.1k | — | — | 86 | $2.1k – $2.1k |
| 9 | Blue Cross Blue Shield anthem medicare managed care facility · other · outpatient | $2.1k | $2.1k | — | — | 151 | $2.1k – $2.1k |
| 10 | UnitedHealthcare medicare managed care facility · other · outpatient | $2.1k | $2.1k | — | — | 230 | $2.1k – $2.1k |
| 11 | Medical Mutual all commercial plans facility · other · outpatient | $2.1k | $2.1k | — | — | 185 | $2.1k – $2.1k |
| 12 | Caresource medicare managed care plan facility · other · outpatient | $2.1k | $2.1k | — | — | 18 | $2.1k – $2.1k |
| 13 | Devoted medicare managed care facility · other · outpatient | $2.1k | $2.1k | — | — | 48 | $2.1k – $2.1k |
| 14 | UnitedHealthcare dual medicare/medicaid managed care plan facility · other · outpatient | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 15 | UnitedHealthcare all commercial plans facility · other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 16 | Caresource exchange facility · other · outpatient | $3.0k | $3.0k | — | — | 15 | $3.0k – $3.0k |
| 17 | Molina exchange facility · other · outpatient | $3.0k | $3.0k | — | — | 16 | $3.0k – $3.0k |
| 18 | Aetna all commercial plans facility · other · outpatient | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 19 | Blue Cross Blue Shield anthem pathway exchange facility · other · outpatient | $4.6k | $4.6k | — | — | 1–10 | $4.6k – $4.6k |
| 20 | Cigna all commercial plans facility · other · outpatient | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 21 | Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient | $7.0k | $7.0k | — | — | 38 | $7.0k – $7.0k |
Last updated: Apr 1, 2026
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