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
$1
Average
$149
Median
$125
High
$8.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
759 hospitals; the 90th percentile is 8.5× 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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1,190 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $102 | $105 | $52 | 49% | 91–118 | $43 – $170 |
| 2 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $102 | $102 | — | — | 71 | $102 – $102 |
| 3 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $131 | $131 | — | — | 55 | $131 – $131 |
| 4 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $131 | $131 | — | — | 55 | $131 – $131 |
| 5 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $170 | $170 | — | — | 51 | $170 – $170 |
| 6 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 3 | $417 | $485 | $115 | 24% | 23–32 | $390 – $647 |
| 7 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 3 | $417 | $485 | $115 | 24% | 23–32 | $390 – $647 |
| 8 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | $0 | 0% | 17 | $175 – $176 |
| 9 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $129 | $141 | $25 | 18% | 17–35 | $118 – $175 |
| 10 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $230 | $230 | — | — | 16–25 | $230 – $230 |
| 11 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $29 | $29 | $0 | 1% | 15 | $28 – $29 |
| 12 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $66 | $59 | $10 | 17% | 15–33 | $44 – $67 |
| 13 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $62 | $56 | $10 | 17% | 15–33 | $42 – $63 |
| 14 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $62 | $62 | — | — | 14–23 | $62 – $62 |
| 15 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $116 | $116 | — | — | 13 | $116 – $116 |
| 16 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $186 | $173 | $52 | 30% | 4–40 | $90 – $232 |
| 17 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | 2–20 | $109 – $109 |
| 18 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 2 | $157 | $157 | $4 | 3% | 2–20 | $153 – $161 |
| 19 | Avera Queen of Peace Mitchell, SD percent of total billed charges · inpatientfrom % of charges | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 20 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 21 | Boston Medical Center Boston, MA other · both | 2 | $267 | $267 | $113 | 42% | 1–10 | $155 – $380 |
| 22 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $138 | $138 | $5 | 4% | 1–10 | $133 – $143 |
| 23 | Denver Health and Hospital Authority Denver, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | 1–10 | $183 – $183 |
| 24 | Eskenazi Health Indianapolis, IN facility · other · both | 1 | $140 | $140 | — | — | 1–10 | $140 – $140 |
| 25 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $140 | $140 | — | — | 1–10 | $140 – $140 |
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