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
Comprehensive Eye Exam New Pt
Low
$11
Average
$245
Median
$142
High
$27.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
947 hospitals; the 90th percentile is 2.6× 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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1,305 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 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $131 | $131 | — | — | 298 | $131 – $131 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $131 | $131 | — | — | 298 | $131 – $131 |
| 3 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $369 | $369 | — | — | 90–99 | $369 – $369 |
| 4 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | $55 | 77% | 66 | $16 – $126 |
| 5 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $358 | $363 | $10 | 3% | 34–43 | $358 – $382 |
| 6 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $81 | $14 | 18% | 24 | $66 – $100 |
| 7 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $81 | $14 | 18% | 24 | $66 – $100 |
| 8 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $289 | $289 | — | — | 2–20 | $289 – $289 |
| 9 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $102 | $102 | — | — | 2–20 | $102 – $102 |
| 10 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 1 | $211 | $211 | $39 | 18% | 2–20 | $172 – $250 |
| 11 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 12 | Denver Health and Hospital Authority Denver, CO facility · other · outpatient | 1 | $54 | $54 | — | — | 1–10 | $54 – $54 |
| 13 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $56 | $56 | — | — | 1–10 | $56 – $56 |
| 14 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $631 | $631 | — | — | 1–10 | $631 – $631 |
| 15 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $265 | $265 | — | — | 1–10 | $265 – $265 |
| 16 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $265 | $265 | — | — | 1–10 | $265 – $265 |
| 17 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $460 | $460 | — | — | 1–10 | $460 – $460 |
| 18 | Tufts Medical Center BOSTON, MA other · both | 1 | $159 | $159 | — | — | 1–10 | $159 – $159 |
| 19 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 21 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 22 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · other · outpatient | 3 | $57 | $55 | $5 | 9% | — | $49 – $60 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $519 | $519 | $74 | 14% | — | $445 – $593 |
← Payers reporting CPT 92004 · Snapshot 20261111T120946Z-9134e7f7