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
Monroe, WI
See all hospitals reporting APC 5491 →Price type
Monroe Clinic, Inc.’s median price of $2.2k is 11% below the median hospital's median price ($2.4k), higher than 9% 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: 6 payers, 12 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 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $752 | $752 | — | — | 1–10 | $752 – $752 |
| 2 | Molina medicaid managed care plan other · outpatient | $1.1k | $1.1k | — | — | 14 | $1.1k – $1.1k |
| 3 | UnitedHealthcare medicare managed care plan other · outpatient | $2.2k | $2.2k | — | — | 60 | $2.2k – $2.2k |
| 4 | Aetna medicare managed care plan other · outpatient | $2.2k | $2.2k | — | — | 177 | $2.2k – $2.2k |
| 5 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $2.2k | $2.2k | — | — | 30 | $2.2k – $2.2k |
| 6 | Humana medicare managed care plan other · outpatient | $2.2k | $2.2k | — | — | 60 | $2.2k – $2.2k |
| 7 | UnitedHealthcare optum vaccn government other · outpatient | $2.2k | $2.2k | — | — | 55 | $2.2k – $2.2k |
| 8 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos other · outpatient | $4.7k | $4.7k | — | — | 16 | $4.7k – $4.7k |
| 9 | UnitedHealthcare all commercial plans other · outpatient | $9.7k | $9.7k | — | — | 13 | $9.7k – $9.7k |
| 10 | Aetna all commercial plans other · outpatient | $10.2k | $10.2k | — | — | 1–10 | $10.2k – $10.2k |
| 11 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $11.1k | $11.1k | — | — | 1–10 | $11.1k – $11.1k |
| 12 | Blue Cross Blue Shield blue access ppo other · outpatient | $12.5k | $12.5k | — | — | 55 | $12.5k – $12.5k |
Last updated: Apr 1, 2026
See Level 1 intraocular procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.