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
HC DETERMINE REFRACTION STATE
Low
$5
Average
$268
Median
$27
High
$13.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
398 hospitals; the 90th percentile is 5.3× 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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570 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $93 | $91 | $18 | 20% | 610 | $67 – $112 |
| 2 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | — | — | 147–156 | $80 – $80 |
| 3 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 1 | $46 | $46 | — | — | 86 | $46 – $46 |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $17 | $22 | $11 | 52% | 76 | $12 – $44 |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $16 | $21 | $11 | 52% | 76 | $12 – $42 |
| 6 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 68 | $30 – $30 |
| 7 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $49 | $45 | $9 | 19% | 58–67 | $30 – $51 |
| 8 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $86 | $86 | — | — | 39 | $86 – $86 |
| 9 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | $0 | 0% | 39 | $71 – $71 |
| 10 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $56 | $57 | $2 | 3% | 35–53 | $56 – $60 |
| 11 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 2 | $43 | $43 | $9 | 20% | 25–34 | $34 – $51 |
| 12 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $119 | $119 | — | — | 23 | $119 – $119 |
| 13 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 20 | $41 – $41 |
| 14 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | 18–36 | $16 – $16 |
| 15 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | 16–25 | $58 – $58 |
| 16 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $41 | $41 | — | — | 11 | $41 – $41 |
| 17 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $102 | $102 | — | — | 2–20 | $102 – $102 |
| 18 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | 1–10 | $32 – $32 |
| 19 | Eskenazi Health Indianapolis, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 20 | Good Samaritan Hospital Puyallup, WA other · outpatient | 1 | $39 | $39 | — | — | 1–10 | $39 – $39 |
| 21 | Mary Bridge Children's Hospital Tacoma, WA other · outpatient | 1 | $39 | $39 | — | — | 1–10 | $39 – $39 |
| 22 | Mayo Clinic Health System Fairmont 56031-4575 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $58 | $58 | — | — | 1–10 | $58 – $58 |
| 23 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 1–10 | $41 – $41 |
| 24 | MultiCare Deaconess Hospital Spokane, WA other · outpatient | 1 | $39 | $39 | — | — | 1–10 | $39 – $39 |
| 25 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
← Payers reporting CPT 92015 · Snapshot 20261111T120946Z-9134e7f7