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
$11
Average
$18
Median
$15
High
$30
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 1.7× 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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28 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 6 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 7 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 8 | Carolinas Medical Center Davidson, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 9 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 11 | Henry Ford Health System West Bloomfield, MI professional · percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 12 | Henry Ford Health System Plymouth, MI professional · percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 13 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI professional · percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 14 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI professional · percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 15 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 16 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $23 | $23 | $1 | 3% | — | $23 – $24 |
| 17 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 18 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Sarasota Memorial Hospital Sarasota, FL fee schedule · outpatient | 1 | $16 | $16 | $0 | 2% | — | $15 – $16 |
| 20 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 21 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 23 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 24 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 25 | The New London Hospital Association, Inc. London, NH professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting CPT 92015 · Snapshot 20261111T120946Z-9134e7f7