Drainage of the tear sac at Rush Medical Foundation

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

PR INCISE/DRAIN TEAR SAC

Meridian, MS

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Pricing by billing methodology

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How this price compares nationally

Rush Medical Foundation’s median price of $169 is 93% below the median hospital's median price ($2.4k), higher than 4% of the 1,505 hospitals reporting CPT 68420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 68420 at Rush Medical Foundation

Negotiated rates from the hospital’s own file: 11 payers, 11 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	Humana all payor fee schedule · outpatient	$134	$134	$13	10%	—	$121 – $147
2	Molina all payor fee schedule · outpatient	$141	$141	$8	6%	—	$132 – $149
3	Cigna Healthspring all payor fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
4	Optum all payor fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
5	WellCare all payor fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
6	Ambetter all payor fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
7	Cigna all payor fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
8	UnitedHealthcare all payor fee schedule · outpatient	$420	$329	$129	39%	—	$147 – $420
9	Bcbs Ms all payor fee schedule · outpatient	$330	$330	$70	21%	—	$260 – $399
10	MultiPlan all payor fee schedule · outpatient	$335	$335	—	—	—	$335 – $335
11	Aetna all payor fee schedule · outpatient	$403	$403	—	—	—	$403 – $403

Last updated: Apr 1, 2026

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See Drainage of the tear sac pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.