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
$227
Median
$19
High
$29.3k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
182 hospitals; the 90th percentile is 3.9× 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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267 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 2 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $30 | $30 | $0 | 1% | — | $30 – $31 |
| 3 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Ascension Calumet Hospital, Inc. Chilton, WI fee schedule · outpatient | 4 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Ascension NE Wisconsin, Inc. Appleton, WI fee schedule · outpatient | 4 | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Ascension NE Wisconsin, Inc. Oshkosh, WI fee schedule · outpatient | 4 | $20 | $20 | — | — | — | $20 – $20 |
| 7 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 3 | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $15 | $15 | — | — | — | $15 – $15 |
| 9 | Aspirus Iron River Hospital Iron River, MI fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · both | 3 | $52 | $42 | $23 | 55% | — | $10 – $64 |
| 11 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 8 | $18 | $21 | $17 | 82% | — | $8 – $65 |
| 12 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $35 | $35 | $1 | 2% | — | $35 – $36 |
| 13 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 14 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 23 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 24 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 25 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
← Payers reporting CPT 92015 · Snapshot 20261111T120946Z-9134e7f7