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
$0
Average
$23
Median
$23
High
$42
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
44 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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51 hospital rates
iThe hospitals that file a Ambetter 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 | University of Arkansas for Medical Sciences Little Rock, AR facility · other · outpatient | 1 | $10 | $10 | — | — | 212 | $10 – $10 |
| 2 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 3 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 4 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 5 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 6 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 7 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 8 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 12 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 13 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 14 | Hendrick Medical Center Brownwood, TX facility · case rate · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 15 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 16 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 17 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 19 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | $2 | 25% | — | $5 – $8 |
| 20 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $9 | $2 | 25% | — | $7 – $12 |
| 21 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $9 | $2 | 25% | — | $7 – $12 |
| 22 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 23 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 24 | SID Peterson Memorial Hospital Kerrville, TX facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 25 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
← Payers reporting CPT 92015 · Snapshot 20261111T120946Z-9134e7f7