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
$9
Average
$856
Median
$18
High
$25.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 3.8× 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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35 hospital rates
iThe hospitals that file a Tricare 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 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $18 | $18 | — | — | 84–93 | $18 – $18 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $16 | $16 | $1 | 8% | — | $15 – $18 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 4 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 6 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 8 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 9 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 10 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 11 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS fee schedule · both | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 12 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Aspirus Keweenaw Hospital Laurium, MI fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 14 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 15 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 16 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | $3 | 23% | — | $11 – $17 |
| 18 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 19 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 20 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 21 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 22 | Nationwide Children's Hospital Columbus, OH professional · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 23 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 24 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC fee schedule · both | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 25 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
← Payers reporting CPT 92015 · Snapshot 20261111T120946Z-9134e7f7