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
$1
Average
$43
Median
$18
High
$2.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
156 hospitals; the 90th percentile is 6.2× 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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192 hospital rates
iThe hospitals that file a Molina 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 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $20 | $20 | $8 | 43% | 350 | $11 – $28 |
| 2 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC per diem · both | 1 | $123 | $123 | — | — | 27 | $123 – $123 |
| 3 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC per diem · both | 1 | $123 | $123 | — | — | 27 | $123 – $123 |
| 4 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $66 | $74 | $48 | 64% | 1–10 | $28 – $137 |
| 5 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 7 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 8 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $28 | $28 | $10 | 34% | — | $19 – $38 |
| 10 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 12 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 13 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 15 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 17 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 2 | $30 | $30 | $10 | 35% | — | $19 – $40 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 2 | $30 | $30 | $10 | 35% | — | $19 – $40 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 2 | $30 | $30 | $10 | 35% | — | $19 – $40 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 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