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
$1
Average
$204
Median
$136
High
$22k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
815 hospitals; the 90th percentile is 3.2× 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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1,229 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 2 | $131 | $131 | — | — | 559 | $131 – $131 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $131 | $131 | — | — | 559 | $131 – $131 |
| 3 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $353 | $353 | — | — | 219–237 | $353 – $353 |
| 4 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 3 | $417 | $485 | $115 | 24% | 109–118 | $390 – $647 |
| 5 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 3 | $417 | $485 | $115 | 24% | 109–118 | $390 – $647 |
| 6 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $161 | $161 | $2 | 1% | 103 | $159 – $163 |
| 7 | Tufts Medical Center BOSTON, MA other · both | 4 | $159 | $159 | — | — | 51–69 | $159 – $159 |
| 8 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $323 | $323 | — | — | 49–58 | $323 – $323 |
| 9 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | $6 | 4% | 43 | $171 – $184 |
| 10 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $290 | $290 | — | — | 43 | $290 – $290 |
| 11 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $256 | $256 | — | — | 42–51 | $256 – $256 |
| 12 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $99 | $77 | 77% | 21 | $23 – $176 |
| 13 | Vanderbilt University Medical Center Nashville, TN other · both | 6 | $124 | $103 | $51 | 50% | 4–40 | $0 – $132 |
| 14 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | 3–30 | $44 – $44 |
| 15 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $514 | $514 | — | — | 2–20 | $514 – $514 |
| 16 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 2 | $212 | $212 | $6 | 3% | 2–20 | $206 – $217 |
| 17 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $134 | $134 | — | — | 2–20 | $134 – $134 |
| 18 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 19 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 20 | Avera Queen of Peace Mitchell, SD percent of total billed charges · inpatientfrom % of charges | 1 | $126 | $126 | — | — | 1–10 | $126 – $126 |
| 21 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | 1–10 | $126 – $126 |
| 22 | Brookings Health System Brookings, SD percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 23 | Denver Health and Hospital Authority Denver, CO facility · other · outpatient | 1 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 24 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $54 | $54 | — | — | 1–10 | $54 – $54 |
| 25 | Mayo Clinic Health System Menomonie, WI professional · fee schedule · outpatient | 2 | $161 | $161 | $2 | 1% | 1–10 | $159 – $163 |
← Payers reporting CPT 92004 · Snapshot 20261111T120946Z-9134e7f7