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 SPECIAL EYE EVALUATION
Low
$24
Average
$139
Median
$122
High
$506
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 5.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medica professional · fee schedule · outpatient · +18 other terms | 16 | $28 | $28 | $4 | 16% | 54–63 | $17 – $42 |
| 2 | Aetna fee schedule · outpatient · +28 other terms | 406 | $136 | $225 | $665 | 296% | — | $1 – $8.4k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 349 | $171 | $230 | $181 | 79% | — | $0 – $937 |
| 4 | UnitedHealthcare fee schedule · outpatient · +33 other terms | 319 | $129 | $139 | $189 | 137% | — | $1 – $3.8k |
| 5 | Humana fee schedule · outpatient · +26 other terms | 282 | $125 | $149 | $540 | 363% | — | $1 – $8.3k |
| 6 | Cigna fee schedule · outpatient · +24 other terms | 164 | $135 | $154 | $131 | 85% | — | $17 – $688 |
| 7 | Molina fee schedule · outpatient · +24 other terms | 141 | $133 | $135 | $85 | 63% | — | $1 – $406 |
| 8 | WellCare fee schedule · outpatient · +16 other terms | 123 | $130 | $137 | $58 | 43% | — | $8 – $302 |
| 9 | Anthem fee schedule · outpatient · +24 other terms | 96 | $125 | $121 | $167 | 138% | — | $11 – $974 |
| 10 | Devoted fee schedule · outpatient · +10 other terms | 68 | $133 | $122 | $37 | 30% | — | $19 – $149 |
| 11 | Kaiser fee schedule · outpatient · +16 other terms | 65 | $189 | $181 | $165 | 91% | — | $17 – $913 |
| 12 | Ambetter fee schedule · outpatient · +14 other terms | 55 | $250 | $222 | $97 | 44% | — | $26 – $434 |
| 13 | Oscar fee schedule · outpatient · +16 other terms | 51 | $246 | $173 | $123 | 71% | — | $1 – $380 |
| 14 | Optum fee schedule · outpatient · +19 other terms | 48 | $121 | $124 | $105 | 84% | — | $18 – $491 |
| 15 | Caresource facility · fee schedule · outpatient · +11 other terms | 29 | $205 | $187 | $63 | 34% | — | $20 – $265 |
| 16 | Bcbs Tx fee schedule · outpatient · +3 other terms | 28 | $381 | $359 | $168 | 47% | — | $121 – $733 |
| 17 | Clover fee schedule · outpatient · +8 other terms | 26 | $141 | $138 | $8 | 6% | — | $120 – $152 |
| 18 | Tricare fee schedule · outpatient · +13 other terms | 24 | $121 | $110 | $28 | 25% | — | $19 – $170 |
| 19 | MultiPlan fee schedule · outpatient · +17 other terms | 23 | $205 | $164 | $72 | 44% | — | $11 – $224 |
| 20 | Medicare fee schedule · outpatient · +13 other terms | 22 | $19 | $44 | $48 | 109% | — | $18 – $148 |
| 21 | Highmark fee schedule · outpatient · +10 other terms | 21 | $109 | $115 | $101 | 87% | — | $8 – $593 |
| 22 | Regence professional · fee schedule · outpatient · +12 other terms | 21 | $23 | $25 | $8 | 32% | — | $20 – $68 |
| 23 | Aetna Better Health facility · fee schedule · outpatient · +16 other terms | 20 | $21 | $31 | $29 | 91% | — | $15 – $134 |
| 24 | Medicaid fee schedule · outpatient · +13 other terms | 18 | $19 | $26 | $31 | 121% | — | $1 – $151 |
| 25 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 17 | $129 | $96 | $50 | 52% | — | $18 – $135 |
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