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
PR EXAM VISUAL FIELD EXTENDED
Low
$1
Average
$198
Median
$130
High
$22k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
831 hospitals; the 90th percentile is 5.4× 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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1,366 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 | $133 | $121 | $34 | 28% | 750 | $75 – $156 |
| 2 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $179 | $179 | — | — | 313 | $179 – $179 |
| 3 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $278 | $210 | $109 | 52% | 292–301 | $41 – $324 |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $57 | $52 | $9 | 17% | 265 | $39 – $59 |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $54 | $49 | $9 | 17% | 265 | $37 – $56 |
| 6 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $168 | $204 | $73 | 36% | 200–209 | $137 – $306 |
| 7 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $94 | $108 | $40 | 37% | 191–209 | $68 – $162 |
| 8 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $29 | $44 | $20 | 45% | 162–171 | $28 – $70 |
| 9 | Mercy Hospital Springfield Ozark, MO facility · per diem · outpatient | 3 | $417 | $485 | $115 | 24% | 126–144 | $390 – $647 |
| 10 | Mercy Hospital Springfield Springfield, MO facility · per diem · outpatient | 3 | $417 | $485 | $115 | 24% | 126–144 | $390 – $647 |
| 11 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 4 | $37 | $44 | $20 | 45% | 99 | $17 – $74 |
| 12 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 2 | $157 | $157 | $4 | 3% | 92 | $153 – $161 |
| 13 | Tufts Medical Center BOSTON, MA other · both | 3 | $366 | $366 | — | — | 71–89 | $366 – $366 |
| 14 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $487 | $487 | — | — | 61 | $487 – $487 |
| 15 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $153 | $153 | — | — | 46 | $153 – $153 |
| 16 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 2 | $270 | $270 | $29 | 11% | 42–51 | $241 – $298 |
| 17 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $235 | $235 | $75 | 32% | 41–59 | $159 – $310 |
| 18 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $299 | $299 | — | — | 41 | $299 – $299 |
| 19 | University of Virginia Medical Center Charlottesville, VA other · both | 2 | $266 | $266 | $133 | 50% | 41–50 | $133 – $399 |
| 20 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $187 | $187 | $7 | 4% | 32 | $180 – $194 |
| 21 | Boston Medical Center Boston, MA other · both | 2 | $267 | $267 | $113 | 42% | 31–40 | $155 – $380 |
| 22 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | 26 | $106 – $106 |
| 23 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $189 | $189 | — | — | 19 | $189 – $189 |
| 24 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $277 | $277 | — | — | 18 | $277 – $277 |
| 25 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $510 | $510 | — | — | 17–26 | $510 – $510 |
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