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
I&D LACRIMAL SAC
Pittsburgh, PA
See all hospitals reporting CPT 68420 →Price type
UPMC Presbyterian’s median price of $5.0k is 106% above the median hospital's median price ($2.4k), higher than 94% of the 1,505 hospitals reporting CPT 68420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 20 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 | MultiPlan worker's compensation facility · fee schedule · outpatient | $373 | $373 | — | — | — | $373 – $373 |
| 2 | Highmark medicare advantage facility · fee schedule · outpatient | $574 | $574 | — | — | — | $574 – $574 |
| 3 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $931 | $931 | — | — | — | $931 – $931 |
| 4 | Aetna chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | Highmark managed care - social mission facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Highmark managed care facility · fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 8 | Cigna medicare transplant facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | Highmark medicare facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 10 | UnitedHealthcare medicare facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 11 | Aetna medicare facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 12 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 13 | Highmark upmc emergent facility · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 14 | Highmark commercial - indemnity facility · fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 15 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 16 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 17 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 18 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 19 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 20 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
Last updated: Mar 6, 2026
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