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 Test Visual Acuity Quantitative Bilat
Low
$0
Average
$11.2k
Median
$16
High
$6798.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
609 hospitals; the 90th percentile is 20.4× 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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909 hospital rates
iThe hospitals that file a Aetna 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $12 | $12 | — | — | 3,775 | $12 – $12 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $50 | $49 | $10 | 20% | 548 | $36 – $60 |
| 3 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | $3 | 5% | 108–117 | $55 – $61 |
| 4 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $37 | $19 | 52% | 92 | $17 – $60 |
| 5 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $10 | $13 | $7 | 52% | 84 | $7 – $26 |
| 6 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $9 | $12 | $6 | 52% | 84 | $7 – $25 |
| 7 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $195 | $191 | $12 | 6% | 47–65 | $169 – $202 |
| 8 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $66 | $2 | 3% | 46–73 | $62 – $67 |
| 9 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $2 | $2 | — | — | 39–48 | $2 – $2 |
| 10 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $2 | $2 | — | — | 38–47 | $2 – $2 |
| 11 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | — | — | 30 | $74 – $74 |
| 12 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $2 | $2 | — | — | 27–54 | $2 – $2 |
| 13 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $5 | $4 | $1 | 18% | 26 | $3 – $5 |
| 14 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $35 | $37 | $19 | 52% | 24–42 | $17 – $60 |
| 15 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $29 | — | — | 22 | $29 – $29 |
| 16 | Tacoma General Allenmore Hospital Bremerton, WA other · outpatient | 1 | $6 | $6 | — | — | 19 | $6 – $6 |
| 17 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $58 | $12 | 20% | 15–33 | $50 – $74 |
| 18 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 25 | $46 | $47 | $6 | 13% | 13–22 | $46 – $76 |
| 19 | Good Samaritan Hospital Puyallup, WA other · outpatient | 1 | $6 | $6 | — | — | 11 | $6 – $6 |
| 20 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $1 | $1 | — | — | 11 | $1 – $1 |
| 21 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $1 | $1 | — | — | 11 | $1 – $1 |
| 22 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 5 | $30 | $30 | $10 | 33% | 5–50 | $17 – $47 |
| 23 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 2 | $26 | $24 | $2 | 10% | 4–40 | $21 – $26 |
| 24 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 2 | $26 | $25 | $2 | 9% | 4–40 | $21 – $26 |
| 25 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 2 | $26 | $24 | $2 | 10% | 4–40 | $21 – $26 |
← Payers reporting CPT 99173 · Snapshot 20261111T120946Z-9134e7f7