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
XR OPTIC FORAMIN >=4 VIEWS
Low
$1
Average
$277
Median
$196
High
$28.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2075 hospitals; the 90th percentile is 5.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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3,864 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $48 | $48 | — | — | 826 | $48 – $48 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $48 | $48 | — | — | 498 | $48 – $48 |
| 3 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA percent of total billed charges · outpatientfrom % of charges | 3 | $327 | $361 | $233 | 64% | 9–90 | $95 – $674 |
| 4 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 4 | $150 | $169 | $95 | 56% | 4–40 | $65 – $344 |
| 5 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 3 | $112 | $193 | $160 | 83% | 3–30 | $50 – $417 |
| 6 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $405 | $405 | — | — | 3–30 | $405 – $405 |
| 7 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $405 | $405 | — | — | 3–30 | $405 – $405 |
| 8 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $326 | $326 | $143 | 44% | 2–20 | $183 – $469 |
| 9 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 2 | $178 | $178 | $15 | 8% | 2–20 | $163 – $193 |
| 10 | Hospital for Special Surgery White Plains, NY fee schedule · both | 4 | $22 | $22 | $8 | 38% | 2–20 | $10 – $34 |
| 11 | Hospital for Special Surgery New York, NY fee schedule · both | 4 | $22 | $22 | $8 | 38% | 2–20 | $10 – $34 |
| 12 | Hospital for Special Surgery Water Mill, NY fee schedule · both | 4 | $22 | $22 | $8 | 38% | 2–20 | $10 – $34 |
| 13 | Hospital for Special Surgery New York, NY fee schedule · both | 4 | $22 | $22 | $8 | 38% | 2–20 | $10 – $34 |
| 14 | Hospital for Special Surgery Fresh Meadows, NY fee schedule · both | 4 | $22 | $22 | $8 | 38% | 2–20 | $10 – $34 |
| 15 | Hospital for Special Surgery Brooklyn, NY fee schedule · both | 4 | $22 | $22 | $8 | 38% | 2–20 | $10 – $34 |
| 16 | Hospital for Special Surgery New York, NY fee schedule · both | 4 | $22 | $22 | $8 | 38% | 2–20 | $10 – $34 |
| 17 | Hospital for Special Surgery New York, NY fee schedule · both | 4 | $22 | $22 | $8 | 38% | 2–20 | $10 – $34 |
| 18 | Massachusetts General Hospital Boston, MA other · both | 1 | $116 | $116 | $7 | 6% | 2–20 | $109 – $124 |
| 19 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $126 | $113 | $20 | 17% | 2–20 | $85 – $129 |
| 20 | RAPIDES REGIONAL MEDICAL CENTER ALEXANDRIA, LA percent of total billed charges · outpatientfrom % of charges | 4 | $176 | $252 | $214 | 85% | 2–20 | $67 – $589 |
| 21 | STONEWALL JACKSON HOSPITAL Weston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $563 | $563 | — | — | 2–20 | $563 – $563 |
| 22 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $79 | $79 | $44 | 56% | 2–20 | $35 – $123 |
| 23 | St. Peter's Health Helena, MT percent of total billed charges · outpatientfrom % of charges | 1 | $561 | $561 | $10 | 2% | 2–20 | $551 – $571 |
| 24 | UCHealth Greeley Hospital Greeley, CO percent of total billed charges · outpatientfrom % of charges | 2 | $376 | $376 | $71 | 19% | 2–20 | $305 – $447 |
| 25 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 3 | $166 | $135 | $51 | 38% | 2–20 | $63 – $177 |
← Payers reporting CPT 70200 · Snapshot 20261112T181611Z-3fa9fb76