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
67255 REINFORCE/GRAFT EYE WALL
Wayne, IN
See all hospitals reporting CPT 67255 →Price type
St. Joseph Health System, LLC’s median price of $1.6k is 61% below the median hospital's median price ($4.1k), higher than 18% 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: 10 payers, 33 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 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $657 | $657 | — | — | — | $657 – $657 |
| 2 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $657 | $657 | — | — | — | $657 – $657 |
| 3 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $737 | $737 | — | — | — | $737 – $737 |
| 4 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $738 | $738 | — | — | — | $738 – $738 |
| 5 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $738 | $738 | — | — | — | $738 – $738 |
| 6 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $935 | $935 | — | — | — | $935 – $935 |
| 7 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $935 | $935 | — | — | — | $935 – $935 |
| 8 | Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 21 | Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 23 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 24 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 25 | Humana node humana mcr adv facility · fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
Last updated: Apr 1, 2026
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