Dx ophthalmic us ant segment immersion uni/bi (CPT 76513)
76513 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
128 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Unity Health - White County Medical Center | Searcy, AR | $18.50 | $74 | $95.19 | 0.2× |
| Unity Health - Jacksonville | Jacksonville, AR | $18.50 | $74 | $98.23 | 0.2× |
| Unity Health - Newport | Newport, AR | $18.50 | $74 | $95.19 | 0.2× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $28.05 | $85 | $94.67 | 0.3× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $36.96 | $168 | $98.13 | 0.4× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $44 | $147 | $105.02 | 0.4× |
| Ochsner Rush Medical Center | Meridian, MS | $44.64 | $144 | $92.32 | 0.5× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $51.36 | $160.50 | $94.67 | 0.5× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $90.10 | 0.6× |
| Memorial Medical Center | Port Lavaca, TX | $63.59 | $90.84 | $105.02 | 0.6× |
| East Carroll Parish Hospital | Lake Providence, LA | $71.25 | $95 | $95.18 | 0.7× |
| Ochsner Laird Hospital | Union, MS | $75.03 | $123 | $90.13 | 0.8× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $77.43 | $267 | $99.83 | 0.8× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $77.43 | $267 | $99.25 | 0.8× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $77.43 | $267 | $100.30 | 0.8× |
| Ochsner Scott Regional | Morton, MS | $77.49 | $123 | $94.39 | 0.8× |
| Ochsner Watkins Hospital | Quitman, MS | $82.41 | $123 | $90.13 | 0.9× |
| Ochsner Stennis Hospital | De Kalb, MS | $84.87 | $123 | $90.13 | 0.9× |
| Mercy Hospital Joplin | Joplin, MO | $85.15 | $131 | $104.71 | 0.8× |
| Mercy Hospital Springfield | Springfield, MO | $85.15 | $131 | $104.71 | 0.8× |
| Riverview Regional Medical Center | Gadsden, AL | $93 | $539 | $93.77 | 1.0× |
| Ochsner Choctaw General | Butler, AL | $93.48 | $123 | $90.10 | 1.0× |
| Touro | New Orleans, LA | $97.02 | $693 | $98.13 | 1.0× |
| Harris Health | Houston, TX | $103.60 | $200 | $105.02 | 1.0× |
| Dallas Regional Medical Center | Mesquite, TX | $104 | $539 | $105.02 | 1.0× |
| Harlingen Medical Center | Harlingen, TX | $104 | $337.53 | $105.02 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $106.74 | — | $109.17 | 1.0× |
| SSM Health Saint Louis University Hospital | St. Louis, MO | $112.86 | $205.20 | $104.71 | 1.1× |
| East Jefferson General Hospital | Metairie, LA | $116.48 | $832 | $98.13 | 1.2× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $116.77 | — | $94.94 | 1.2× |
| Atrium Health Wake Forest Baptist Medical Center | Winston-Salem, NC | $117.50 | $235 | $101.39 | 1.2× |
| Titus Regional Medical Center | Mount Pleasant, TX | $119.40 | $199 | $105.02 | 1.1× |
| Denver Health Medical Center | Denver, CO | $119.51 | $341.43 | $110.28 | 1.1× |
| West Jefferson Medical Center | Marrero, LA | $122.24 | $764 | $98.13 | 1.2× |
| Griffin Hospital | Derby, CT | $127.13 | — | $125.33 | 1.0× |
| Summit Medical Center, LLC | Edmond, OK | $127.26 | — | $100.55 | 1.3× |
| Valleywise Health Medical Center | Phoenix, AZ | $128.29 | $330 | $111.56 | 1.1× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $130.72 | — | $100.30 | 1.3× |
| Hilton Head Medical Center | Hilton Head Island, SC | $133.41 | — | $97.24 | 1.4× |
| East Cooper Medical Center | Mount Pleasant, SC | $133.41 | — | $97.24 | 1.4× |
| Coastal Carolina Medical Center | Hardeeville, SC | $133.41 | — | $97.24 | 1.4× |
| Vanderbilt University Hospital | Nashville, TN | $144.18 | $267 | $102.63 | 1.4× |
| Nebraska Medical Center | Omaha, NE | $151.62 | $233.25 | $108.56 | 1.4× |
| Bellevue Medical Center | Bellevue, NE | $151.62 | $233.25 | $108.56 | 1.4× |
| Gunnison Valley Hospital | Gunnison, CO | $154.70 | $182 | $110.28 | 1.4× |
| White Mountain Regional Medical Center | Springerville, AZ | $156.08 | $273.82 | $111.56 | 1.4× |
| Manning Family Children's | New Orleans, LA | $157.41 | $583 | $98.13 | 1.6× |
| DeSoto Regional Health System | Mansfield, LA | $157.50 | $225 | $94.67 | 1.7× |
| Children's National Hospital | Washington, DC | $161.50 | $323 | $123.50 | 1.3× |
| Lawrence + Memorial Hospital | New London, CT | $163.38 | $453.82 | $125.33 | 1.3× |
| JPS Health Network | Fort Worth, TX | $164.40 | $274 | $105.02 | 1.6× |
| Northwest Texas Hospital | Amarillo, TX | $170 | $425 | $105.02 | 1.6× |
| University Medical Center New Orleans | New Orleans, LA | $193.16 | $878 | $94.67 | 2.0× |
| ECU Health Medical Center | Greenville, NC | $198.75 | $375 | $99.93 | 2.0× |
| ECU Health Bertie Hospital | Windsor, NC | $200.48 | $358 | $99.93 | 2.0× |
| St. Vincent General Hospital District | Leadville, CO | $201.88 | $288.40 | $110.28 | 1.8× |
| UT Health San Antonio Multispecialty & Research Ho | San Antonio, TX | $204.60 | $341 | $105.02 | 1.9× |
| University Health System | San Antonio, TX | $206.50 | $826 | $105.02 | 2.0× |
| Ascension Saint Thomas Hospital West | Nashville, TN | $206.72 | $689.05 | $100.30 | 2.1× |
| MUSC Health Black River Medical Center | Cades, SC | $209.50 | $419 | $97.24 | 2.2× |
| ECU Health North Hospital | Roanoke Rapids, NC | $210 | $375 | $99.93 | 2.1× |
| Duncan Regional Hospital, Inc | Duncan, OK | $216.80 | — | $100.55 | 2.2× |
| ECU Health Edgecombe Hospital | Tarboro, NC | $220.08 | $393 | $99.93 | 2.2× |
| Duke University Hospital | Durham, NC | $221.13 | $819 | $104.03 | 2.1× |
| Outer Banks Health Hospital | Nags Head, NC | $224 | $400 | $99.93 | 2.2× |
| ECU Health Chowan Hospital | Edenton, NC | $227.92 | $407 | $99.93 | 2.3× |
| UAMS Medical Center | Little Rock, AR | $232.80 | $388 | $98.23 | 2.4× |
| MUSC Health University Medical Center | Charleston, SC | $233 | $466 | $97.24 | 2.4× |
| Bridgeport Hospital | Bridgeport, CT | $235.99 | $453.82 | $125.33 | 1.9× |
| Greenwich Hospital | Greenwich, CT | $235.99 | $453.82 | $125.33 | 1.9× |
| ECU Health Roanoke-Chowan Hospital | Ahoskie, NC | $245.84 | $439 | $100.15 | 2.5× |
| ECU Health Duplin Hospital | Kenansville, NC | $245.84 | $439 | $99.93 | 2.5× |
| St. John's Medical Center | Jackson, WY | $250 | $250 | $106.81 | 2.3× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $251.94 | $646 | $102.88 | 2.4× |
| Wellstar Spalding Medical Center | Griffin, GA | $251.94 | $646 | $104.86 | 2.4× |
| Wellstar MCG Health Medical Center | Augusta, GA | $251.94 | $646 | $91.62 | 2.7× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $251.94 | $646 | $106.19 | 2.4× |
| Wellstar Paulding Medical Center | Hiram, GA | $251.94 | $646 | $106.19 | 2.4× |
| Wellstar Cobb Medical Center | Austell, GA | $251.94 | $646 | $106.19 | 2.4× |
| Wellstar Douglas Medical Center | Douglasville, GA | $251.94 | $646 | $105.23 | 2.4× |
| Wellstar North Fulton Medical Center | Roswell, GA | $251.94 | $646 | $106.19 | 2.4× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $251.94 | $646 | $104.86 | 2.4× |
| Yale New Haven Hospital | New Haven, CT | $267.75 | $453.82 | $125.33 | 2.1× |
| UCHealth University of Colorado Hospital | Aurora, CO | $278.95 | $797 | $110.28 | 2.5× |
| George Washington University Hospital | Washington, DC | $282.40 | $706 | $123.50 | 2.3× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $282.40 | $706 | $123.50 | 2.3× |
| UK Albert B. Chandler Hospital | Lexington, KY | $289.15 | $722.88 | $102.10 | 2.8× |
| Northwest Surgical Hospital | Oklahoma City, OK | $301.65 | — | $100.55 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $301.65 | — | $100.55 | 3.0× |
| Valley View Hospital | Glenwood Springs, CO | $311.10 | $366 | $110.28 | 2.8× |
| University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center | Miami, FL | $347.49 | $1,287 | $109.17 | 3.2× |
| Nashville General Hospital | Nashville, TN | $356.40 | $594 | $100.30 | 3.6× |
| University Hospital | Columbia, MO | $372.30 | $620.50 | $104.71 | 3.6× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $380.47 | $634.11 | $105.02 | 3.6× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $380.47 | $634.11 | $105.02 | 3.6× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $380.47 | $634.11 | $105.02 | 3.6× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $380.47 | $634.11 | $105.02 | 3.6× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $380.47 | $634.11 | $105.02 | 3.6× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $413.30 | $688.83 | $105.02 | 3.9× |
| Scott & White Hospital-round Rock | Round Rock, TX | $413.30 | $688.83 | $105.02 | 3.9× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $413.30 | $688.83 | $105.02 | 3.9× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $413.30 | $688.83 | $105.02 | 3.9× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $413.30 | $688.83 | $105.02 | 3.9× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $429.54 | $429.54 | $105.02 | 4.1× |
| Coralvita Richardson | Richardson, TX | $431.20 | $431.20 | $105.02‡ | 4.1× |
| East Valley ER & Hospital | Gilbert, AZ | $508.95 | $1,131 | $111.56 | 4.6× |
| Alexandria Emergency Hospital | Alexandria, LA | $508.95 | $1,131 | $98.61 | 5.2× |
| Grady Memorial Hospital | Atlanta, GA | $542.50 | $542.50 | $106.19 | 5.1× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $596.70 | $918 | $109.17 | 5.5× |
| Cleveland Clinic Hospital | Weston, FL | $596.70 | $918 | $109.17 | 5.5× |
| Brushy Creek Family Hospital LLC | Round Rock, TX | $812.25 | $902.50 | $105.02 | 7.7× |
| Bandera Family Hospital | San Antonio, TX | $812.25 | $902.50 | $105.02 | 7.7× |
| RISE Community Hospital | Prairieville, LA | $812.25 | $902.50 | $94.67 | 8.6× |
| Lexington Medical Center | West Columbia, SC | $953 | $953 | $101.06 | 9.4× |
| Longmont United Hospital | Longmont, CO | $966.70 | $2,416.74 | $111.51 | 8.7× |
| St. Anthony Hospital | Lakewood, CO | $966.70 | $2,416.74 | $110.28 | 8.8× |
| Penrose Hospital | Colorado Springs, CO | $966.70 | $2,416.74 | $110.28 | 8.8× |
| St. Anthony North Health Campus | Westminster, CO | $966.70 | $2,416.74 | $110.28 | 8.8× |
| OrthoColorado Hospital | Lakewood, CO | $966.70 | $2,416.74 | $110.28 | 8.8× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $966.70 | $2,416.74 | $110.28 | 8.8× |
| Children's Hospital Colorado | Aurora, CO | $1,264.25 | $1,945 | $110.28 | 11.5× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $1,264.25 | $1,945 | $110.28 | 11.5× |
| Nemours Children's Hospital, Florida | Orlando, FL | $1,501 | $1,501 | $109.17 | 13.7× |
| Baytown Medical Center Lp | Baytown, TX | $1,774 | $1,774 | $105.02 | 16.9× |
| Altus Houston Hospital, Lp | Houston, TX | $1,774 | $1,774 | $105.02 | 16.9× |
| HCA Florida Northside Hospital | Saint Petersburg, FL | $3,427.70 | $3,427.70 | $109.17 | 31.4× |
| Omega Hospital | Metairie, LA | $9,149.47 | $15,684.81 | $98.13 | 93.2× |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $441 | $105.02 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.