Comprehensive eye exam for new patient

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Comprehensive Eye Exam New Pt

Payers reporting CPT 92004

Payer pricing summary

Low

$63

Average

$225

Median

$191

High

$1.1k

Payer rate distribution

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#
1	Medica professional · fee schedule · outpatient · +16 other terms	16	$158	$156	$26	17%	135–153	$80 – $229
2	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	336	$248	$316	$179	56%	1–10	$0 – $1.3k
3	Cigna fee schedule · outpatient · +23 other terms	181	$138	$211	$135	64%	1–10	$80 – $689
4	Aetna fee schedule · outpatient · +28 other terms	413	$140	$250	$634	254%	—	$1 – $8.4k
5	UnitedHealthcare fee schedule · outpatient · +32 other terms	329	$130	$185	$180	97%	—	$1 – $3.8k
6	Humana fee schedule · outpatient · +26 other terms	302	$141	$233	$534	229%	—	$1 – $8.3k
7	WellCare fee schedule · outpatient · +17 other terms	144	$136	$148	$47	32%	—	$31 – $302
8	Molina fee schedule · outpatient · +22 other terms	124	$135	$149	$69	46%	—	$1 – $361
9	Anthem fee schedule · outpatient · +20 other terms	94	$214	$251	$273	109%	—	$48 – $1.8k
10	Ambetter facility · fee schedule · outpatient · +16 other terms	69	$231	$316	$738	233%	—	$61 – $7.1k
11	Devoted fee schedule · outpatient · +12 other terms	68	$133	$129	$16	12%	—	$89 – $149
12	Kaiser fee schedule · outpatient · +17 other terms	68	$193	$228	$148	65%	—	$39 – $951
13	Oscar fee schedule · outpatient · +16 other terms	48	$240	$204	$103	50%	—	$1 – $380
14	Optum fee schedule · outpatient · +18 other terms	47	$121	$150	$92	62%	—	$85 – $491
15	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$405	$383	$176	46%	—	$121 – $779
16	Caresource facility · fee schedule · outpatient · +15 other terms	31	$205	$185	$54	29%	—	$90 – $265
17	Clover facility · fee schedule · outpatient · +7 other terms	29	$140	$137	$10	7%	—	$119 – $152
18	Tricare fee schedule · outpatient · +13 other terms	23	$121	$115	$16	14%	—	$89 – $158
19	Highmark fee schedule · outpatient · +10 other terms	21	$140	$147	$85	58%	—	$30 – $614
20	MultiPlan fee schedule · outpatient · +16 other terms	21	$212	$197	$31	16%	—	$104 – $212
21	Regence facility · fee schedule · outpatient · +9 other terms	21	$140	$198	$113	57%	—	$119 – $479
22	Aetna Better Health facility · fee schedule · outpatient · +16 other terms	19	$73	$116	$43	37%	—	$69 – $170
23	Medicare fee schedule · outpatient · +12 other terms	19	$89	$89	$7	7%	—	$84 – $118
24	Cigna Healthspring fee schedule · outpatient · +7 other terms	17	$129	$116	$20	17%	—	$85 – $135
25	First Health fee schedule · outpatient · +16 other terms	16	$139	$164	$64	39%	—	$96 – $333

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