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
REPAIR OF BLEPHAROPTOSIS; (TARSO) LEVATOR RESECTION OR ADVANCEMENT, EXTERNAL APPROACH
York, PA
See all hospitals reporting CPT 67904 →Price type
UPMC Memorial’s median price of $3.3k is 19% above the median hospital's median price ($2.7k), higher than 60% of the 1,676 hospitals reporting CPT 67904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Highmark medicare facility · fee schedule · outpatient | $840 | $840 | — | — | — | $840 – $840 |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 3 | Aetna medicare facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 4 | Cigna medicare facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 6 | Blue Cross Blue Shield chip facility · case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 7 | Blue Cross Blue Shield commercial facility · case rate · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 8 | Cigna commercial facility · case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 10 | Highmark commercial facility · fee schedule · outpatient | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
Last updated: Mar 6, 2026
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