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
$4
Average
$56
Median
$54
High
$191
Each hospital's average Medica rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 13.0× 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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128 hospital rates
iThe hospitals that file a Medica 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $66 | $68 | $27 | 40% | 48–84 | $30 – $99 |
| 2 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 2 | $8 | $8 | $3 | 40% | 25–34 | $4 – $12 |
| 3 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $91 | $90 | $23 | 26% | 23–59 | $55 – $121 |
| 4 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $10 | $10 | $2 | 21% | 20 | $8 – $13 |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $105 | $94 | $66 | 71% | 6–60 | $8 – $169 |
| 6 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 4 | $8 | $9 | $2 | 23% | 4–40 | $6 – $12 |
| 7 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 5 | $65 | $64 | $27 | 42% | 2–20 | $29 – $100 |
| 8 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | $6 | 45% | 2–20 | $7 – $18 |
| 9 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | $6 | 45% | 2–20 | $7 – $18 |
| 10 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $3 | $4 | $2 | 47% | — | $2 – $6 |
| 11 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $3 | $4 | $2 | 47% | — | $2 – $6 |
| 12 | Amery Hospital Amery, WI facility · fee schedule · both | 2 | $20 | $15 | $7 | 50% | — | $4 – $20 |
| 13 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 15 | Avera Marshall Hospital Marshall, MN fee schedule · both | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 16 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 2 | $21 | $21 | $2 | 9% | — | $19 – $23 |
| 17 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $21 | $2 | 10% | — | $19 – $23 |
| 18 | Avera Queen of Peace Mitchell, SD fee schedule · both | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 19 | Avera Queen of Peace Mitchell, SD percent of total billed charges · inpatientfrom % of charges | 2 | $24 | $24 | $2 | 8% | — | $22 – $26 |
| 20 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $24 | $2 | 8% | — | $22 – $26 |
| 21 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $16 | $35 | $33 | 93% | — | $7 – $81 |
| 22 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $248 | $248 | $198 | 80% | — | $50 – $446 |
| 23 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $133 | $140 | $112 | 80% | — | $26 – $268 |
| 24 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 25 | Brookings Health System Brookings, SD percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $10 | $3 | 27% | — | $7 – $12 |
← Payers reporting CPT 76514 · Snapshot 20261111T120946Z-9134e7f7