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
REINFORCE/GRAFT EYE WALL
San Angelo, TX
See all hospitals reporting CPT 67255 →Price type
Shannon River Crest Hospital’s median price of $5.8k is 39% above the median hospital's median price ($4.1k), higher than 78% of the 1,478 hospitals reporting CPT 67255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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 | Molina managed medicaid facility · fee schedule · outpatient | $892 | $892 | — | — | — | $892 – $892 |
| 2 | Humana medicare advantage facility · case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 3 | Bcbs Tx hmo facility · fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 4 | Bcbs Tx bav facility · fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 5 | Bcbs Tx ppo facility · fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 6 | Ambetter ppo facility · case rate · outpatient | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
Last updated: Dec 8, 2025
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