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
$60
Median
$11
High
$7.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
476 hospitals; the 90th percentile is 13.5× 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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699 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | 3 | $12 | $12 | $1 | 8% | 6,915 | $11 – $13 |
| 2 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · outpatient | 2 | $8 | $8 | $2 | 22% | 2,705 | $6 – $10 |
| 3 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $87 | $79 | $11 | 14% | 739–748 | $64 – $87 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $53 | $52 | $1 | 3% | 405–441 | $50 – $53 |
| 5 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $49 | $49 | — | — | 304 | $49 – $49 |
| 6 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $27 | $28 | $1 | 4% | 239 | $26 – $30 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 238–247 | $63 – $63 |
| 8 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $49 | $49 | $2 | 4% | 222–258 | $47 – $53 |
| 9 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 2 | $5 | $5 | $0 | 7% | 221–311 | $3 – $5 |
| 10 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $49 | $49 | $2 | 4% | 158–185 | $47 – $53 |
| 11 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 3 | $3 | $3 | $0 | 16% | 141 | $2 – $3 |
| 12 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | $1 | 2% | 90–108 | $49 – $50 |
| 13 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 2 | $5 | $5 | $0 | 6% | 64–109 | $3 – $5 |
| 14 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $22 | $16 | $9 | 57% | 52 | $3 – $22 |
| 15 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 3 | $62 | $63 | $1 | 2% | 49 | $61 – $65 |
| 16 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 4 | $63 | $55 | $16 | 28% | 48 | $21 – $65 |
| 17 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 7 | $49 | $46 | $9 | 19% | 39–66 | $24 – $52 |
| 18 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 2 | $2 | $3 | $0 | 16% | 33 | $2 – $3 |
| 19 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 11 | $49 | $47 | $7 | 15% | 26–44 | $31 – $54 |
| 20 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | 22–40 | $5 – $5 |
| 21 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | 19 | $13 – $13 |
| 22 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | 19 | $13 – $13 |
| 23 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $38 | $40 | $3 | 8% | 13–22 | $38 – $46 |
| 24 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 50 | $49 | $49 | $1 | 2% | 7–70 | $45 – $49 |
| 25 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 3 | $0 | $0 | — | — | 6–60 | $0 – $0 |
← Payers reporting CPT 99173 · Snapshot 20261111T120946Z-9134e7f7