Lacrimal gland incision and drainage at St. Joseph Health System, LLC

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

68400 INCISE/DRAIN TEAR GLAND

Wayne, IN

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Pricing by billing methodology

Price type

How this price compares nationally

St. Joseph Health System, LLC’s median price of $270 is 75% below the median hospital's median price ($1.1k), higher than 11% of the 1,413 hospitals reporting CPT 68400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 68400 at St. Joseph Health System, LLC

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	$109	$109	—	—	—	$109 – $109
2	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
3	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
4	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
5	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
6	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
7	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
8	Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges	$229	$229	—	—	—	$229 – $229
9	Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges	$229	$229	—	—	—	$229 – $229
10	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$233	$233	—	—	—	$233 – $233
11	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$233	$233	—	—	—	$233 – $233
12	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$253	$253	—	—	—	$253 – $253
13	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$253	$253	—	—	—	$253 – $253
14	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$263	$263	—	—	—	$263 – $263
15	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$263	$263	—	—	—	$263 – $263
16	Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges	$270	$270	—	—	—	$270 – $270
17	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$270	$270	—	—	—	$270 – $270
18	Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
19	Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
20	Medical Mutual medical mutual of ohio facility · percent of total billed charges · inpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
21	Medical Mutual medical mutual of ohio facility · percent of total billed charges · outpatientfrom % of charges	$337	$337	—	—	—	$337 – $337
22	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$934	$934	—	—	—	$934 – $934
23	Aetna node aetna mcr adv facility · fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
24	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
25	Humana node humana mcr adv facility · fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Page 1 of 2 · 33 rates

Last updated: Apr 1, 2026

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