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Every billing code / CPT 65235 / Summit Pacific Medical Center

CPT 65235 at Summit Pacific Medical Center

Eye

Summit Pacific Medical Center, Elma

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Summit Pacific Medical Center publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$2,977 – $3,8283 plans$764
Medicare AdvantageInsurer rates$1,063 – $1,1273 plans$651 – $690
Medicaid managed careInsurer rates$982 – $1,0813 plans$424 – $467
Other government programInsurer rates$1,0631 plan$651
UnknownInsurer rates$982 – $3,6153 plans$424 – $901
Cash pricePaying yourself, without insurance$2,297$774
List priceBefore any discount; few people pay it$4,253$1,433

Lowest and highest amounts Summit Pacific Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-31. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe operating or procedure room, nursing, supplies and recovery—The price above
Surgeon or doctor doing itThe doctor's practiceThe procedure, and routine follow-up visits for 90 days$651$768 – $1,165
AnesthesiaAn anesthesia group (only sometimes)Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.——

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 65235 at every Washington hospital, with Medicare’s reference amounts.