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
$15
Average
$309
Median
$223
High
$927
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
207 hospitals; the 90th percentile is 5.2× 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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281 hospital rates
iThe hospitals that file a MultiPlan 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 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $247 | $247 | $16 | 7% | — | $231 – $264 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $534 | $534 | — | — | — | $534 – $534 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $136 | $135 | $8 | 6% | — | $126 – $145 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 8 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 2 | $431 | $431 | $14 | 3% | — | $417 – $444 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $418 | $418 | — | — | — | $418 – $418 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $546 | $546 | — | — | — | $546 – $546 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $508 | $508 | — | — | — | $508 – $508 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $546 | $546 | — | — | — | $546 – $546 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $546 | $546 | — | — | — | $546 – $546 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $546 | $546 | — | — | — | $546 – $546 |
| 17 | BRFHH MONROE, LLC Monroe, LA other · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 18 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 19 | Bexar County Hospital District San Antonio, TX percent of total billed charges · inpatientfrom % of charges | 2 | $136 | $136 | $5 | 4% | — | $130 – $141 |
| 20 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $136 | $136 | $5 | 4% | — | $130 – $141 |
| 21 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $270 | $255 | $47 | 18% | — | $178 – $301 |
| 22 | Bluffton Health System LLC Bluffton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $270 | $255 | $47 | 18% | — | $178 – $301 |
| 23 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $564 | $564 | $9 | 2% | — | $555 – $573 |
| 24 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 25 | Bronson Battle Creek Hospital Battle Creek, MI professional · fee schedule · both | 1 | $137 | $137 | — | — | — | $137 – $137 |
← Payers reporting CPT 92004 · Snapshot 20261111T120946Z-9134e7f7