CPT 0378T
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
Visual field assmnt rev/rprt
Low
$18
Average
$36
Median
$34
High
$64
Filter by billing methodology
Filter by billing class
43 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 2 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 4 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 6 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 7 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 8 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 9 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 10 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · case rate · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 11 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 12 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 13 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 14 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 2 | $26 | $26 | $1 | 2% | — | $25 – $26 |
| 16 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 17 | Kalkaska Memorial Health Center Kalkaska, MI professional · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 18 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 20 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $26 | $26 | — | — | — | $26 – $26 |
| 21 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 22 | Munson Healthcare Cadillac Cadillac, MI professional · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 23 | Munson Healthcare Charlevoix Hospital Charlevoix, MI professional · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 24 | Munson Healthcare Grayling Grayling, MI professional · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 25 | Munson Healthcare Manistee Hospital Manistee, MI professional · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
← Payers reporting CPT 0378T · Snapshot 20261113T090226Z-3ce6c0b8