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
PR OPHTHAL US DX EYE THICKNESS
Low
$3
Average
$53
Median
$25
High
$6.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1066 hospitals; the 90th percentile is 7.7× 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.
Filter by billing methodology
Filter by billing class
1,480 hospital rates
iThe hospitals that file a Aetna 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 Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $14 | $18 | $9 | 52% | 52 | $10 – $37 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $13 | $17 | $9 | 52% | 52 | $9 – $34 |
| 3 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $108 | $106 | $21 | 20% | 40 | $78 – $131 |
| 4 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 3 | $523 | $507 | $35 | 7% | 15–24 | $448 – $532 |
| 5 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $3 | $3 | $0 | 4% | 4–40 | $3 – $3 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $104 | $92 | $18 | 19% | 3–30 | $67 – $104 |
| 7 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $134 | $134 | — | — | 2–20 | $134 – $134 |
| 8 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $118 | $118 | — | — | 2–20 | $118 – $118 |
| 9 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $24 | $24 | $5 | 20% | 2–20 | $19 – $29 |
| 10 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $412 | $412 | $0 | 0% | 2–20 | $412 – $413 |
| 11 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $57 | $56 | $14 | 24% | 2–20 | $42 – $74 |
| 12 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | 2–20 | $26 – $26 |
| 13 | Boston Medical Center Boston, MA other · both | 1 | $34 | $34 | — | — | 1–10 | $34 – $34 |
| 14 | Eskenazi Health Indianapolis, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $61 | $61 | — | — | 1–10 | $61 – $61 |
| 15 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | 1–10 | $55 – $55 |
| 16 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $136 | $136 | — | — | 1–10 | $136 – $136 |
| 17 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $136 | $136 | — | — | 1–10 | $136 – $136 |
| 18 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | 1–10 | $59 – $59 |
| 19 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $67 | $66 | $28 | 42% | 1–10 | $31 – $99 |
| 20 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | $24 | 25% | 1–10 | $73 – $121 |
| 21 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 22 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 23 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 1 | $18 | $18 | — | — | 1–10 | $18 – $18 |
| 24 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $140 | $140 | $8 | 6% | 1–10 | $132 – $148 |
| 25 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $29 | $24 | $11 | 45% | 1–10 | $3 – $29 |
← Payers reporting CPT 76514 · Snapshot 20261111T120946Z-9134e7f7