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
SCREENING OF VISUAL FUNCTION
Low
$0
Average
$86
Median
$29
High
$1.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
190 hospitals; the 90th percentile is 10.8× 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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233 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 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 1 | $146 | $146 | — | — | 1–10 | $146 – $146 |
| 2 | 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 | $185 | $185 | — | — | 1–10 | $185 – $185 |
| 3 | "Savoy Medical Management Group, Inc." Mamou, LA facility · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 4 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 3 | $344 | $338 | $8 | 2% | — | $327 – $344 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 6 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $37 | $34 | $4 | 12% | — | $28 – $38 |
| 7 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 2 | $14 | $14 | — | — | — | $14 – $14 |
| 8 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 3 | $32 | $32 | $1 | 2% | — | $31 – $32 |
| 9 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 5 | $32 | $265 | $286 | 108% | — | $31 – $616 |
| 10 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 11 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 2 | $31 | $32 | $5 | 16% | — | $26 – $38 |
| 12 | Alice Hyde Medical Center Malone, NY professional · percent of total billed charges · bothfrom % of charges | 2 | $42 | $42 | — | — | — | $42 – $42 |
| 13 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $44 | $44 | — | — | — | $44 – $44 |
| 14 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 15 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 16 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 17 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 18 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · both | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 19 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $39 | $95 | $80 | 85% | — | $37 – $208 |
| 20 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 21 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 22 | Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $17 | $14 | $6 | 39% | — | $5 – $19 |
| 23 | Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $17 | $14 | $7 | 48% | — | $2 – $19 |
| 24 | Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $17 | $17 | $1 | 5% | — | $17 – $19 |
| 25 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · percent of total billed charges · outpatientfrom % of charges | 4 | $17 | $14 | $6 | 39% | — | $5 – $19 |
← Payers reporting CPT 99172 · Snapshot 20261113T090226Z-3ce6c0b8