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
Saint Louis, MO
See all hospitals reporting APC 5491 →Price type
SSM-SLUH, Inc.’s median price of $2.4k is 3% below the median hospital's median price ($2.4k), higher than 29% 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: 7 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 | Molina medicaid managed care plan other · outpatient | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 2 | Blue Cross Blue Shield community il medicaid managed care plan other · outpatient | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 3 | Molina dual eligible medicare/medicaid managed care plan other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 4 | Humana medicare managed care plan other · outpatient | $1.9k | $1.9k | — | — | 40 | $1.9k – $1.9k |
| 5 | Aetna gold advantage medicare managed care plan other · outpatient | $1.9k | $1.9k | — | — | 79 | $1.9k – $1.9k |
| 6 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $2.0k | $2.0k | — | — | 55 | $2.0k – $2.0k |
| 7 | UnitedHealthcare medicare managed care plan other · outpatient | $2.0k | $2.0k | — | — | 158 | $2.0k – $2.0k |
| 8 | UnitedHealthcare optum vaccn government other · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 9 | Medica exchange other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 10 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $2.4k | $2.4k | — | — | 14 | $2.4k – $2.4k |
| 11 | Aetna all commercial plans other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 12 | Blue Cross Blue Shield anthem pathway exchange other · outpatient | $2.9k | $2.9k | — | — | 29 | $2.9k – $2.9k |
| 13 | Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient | $3.3k | $3.3k | — | — | 23 | $3.3k – $3.3k |
| 14 | Cigna all commercial plans other · outpatient | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 15 | UnitedHealthcare employee other · outpatient | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 16 | UnitedHealthcare non-ppo other commercial plan other · outpatient | $3.8k | $3.8k | — | — | 28 | $3.8k – $3.8k |
| 17 | UnitedHealthcare options ppo other · outpatient | $4.0k | $4.0k | — | — | 1–10 | $4.0k – $4.0k |
| 18 | Aetna nap other commercial plan percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 19 | Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient | $4.4k | $4.4k | — | — | 30 | $4.4k – $4.4k |
| 20 | Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 21 | Blue Cross Blue Shield anthem blue access ppo other · outpatient | $6.4k | $6.4k | — | — | 11 | $6.4k – $6.4k |
Last updated: Apr 1, 2026
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