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

Humana pricing summary

Low

Average

$181

Median

$134

High

$3.4k

Humana rate distribution

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880 hospital rates

#		Plans
1	Mercy Hospital Springfield Ozark, MO facility · other · outpatient	1	$131	$131	—	—	143	$131 – $131
2	Mercy Hospital Springfield Springfield, MO facility · other · outpatient	1	$131	$131	—	—	143	$131 – $131
3	FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges	1	$101	$101	$78	77%	11	$23 – $179
4	Baylor Scott & White Medical Center - Temple Temple, TX facility · other · outpatient	1	$803	$803	—	—	1–10	$803 – $803
5	PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC per diem · both	1	$128	$128	—	—	1–10	$128 – $128
6	PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC per diem · both	1	$128	$128	—	—	1–10	$128 – $128
7	Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both	1	$456	$456	—	—	1–10	$456 – $456
8	Tufts Medical Center BOSTON, MA other · both	1	$159	$159	—	—	1–10	$159 – $159
9	University of Virginia Medical Center Charlottesville, VA other · both	1	$134	$134	—	—	1–10	$134 – $134
10	AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient	1	$119	$119	—	—	—	$119 – $119
11	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	1	$131	$131	—	—	—	$131 – $131
12	AMH Cath Labs LLC Arlington, TX case rate · outpatient	2	$139	$139	—	—	—	$139 – $139
13	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient	1	$5.8k	$5.8k	—	—	—	$5.8k – $5.8k
14	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	1	$174	$174	—	—	—	$174 – $174
15	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	2	$131	$131	$10	8%	—	$121 – $141
16	Adena Health System Chillicothe, OH facility · fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
17	AdventHealth Deland Deland, FL fee schedule · outpatient	2	$150	$150	$5	3%	—	$145 – $155
18	AdventHealth Orlando Winter Park, FL fee schedule · outpatient	1	$146	$146	—	—	—	$146 – $146
19	Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient	2	$148	$148	$4	2%	—	$145 – $152
20	Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient	2	$150	$150	$5	3%	—	$145 – $155
21	Adventhealth Hendersonville Hendersonville, NC fee schedule · outpatient	1	$129	$129	—	—	—	$129 – $129
22	Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient	1	$139	$139	—	—	—	$139 – $139
23	Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient	2	$150	$150	$5	3%	—	$145 – $155
24	Adventhealth Redmond Rome, GA fee schedule · outpatient	1	$385	$385	—	—	—	$385 – $385
25	Adventhealth Sebring Sebring, FL fee schedule · outpatient	1	$143	$143	—	—	—	$143 – $143

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CPT 92004