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
$4
Average
$7
Median
$6
High
$13
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 2.9× 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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25 hospital rates
iThe hospitals that file a Carefirst 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 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | 1–10 | $5 – $5 |
| 2 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | 1–10 | $5 – $5 |
| 3 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | 1–10 | $5 – $5 |
| 4 | Children's National Hospital Washington, DC professional · fee schedule · both | 3 | $4 | $4 | $0 | 11% | — | $3 – $4 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $6 | $5 | $2 | 44% | — | $2 – $6 |
| 6 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 2 | $6 | $6 | $0 | 4% | — | $6 – $6 |
| 7 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · inpatient | 2 | $5 | $4 | $0 | 4% | — | $4 – $5 |
| 8 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · outpatient | 3 | $6 | $6 | $0 | 4% | — | $6 – $6 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 12 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 13 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 14 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 15 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 2 | $6 | $5 | $2 | 44% | — | $2 – $6 |
| 17 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 21 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · inpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 22 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 24 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 2 | $7 | $7 | $1 | 11% | — | $6 – $7 |
| 25 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 2 | $7 | $7 | $1 | 11% | — | $6 – $7 |
← Payers reporting CPT 99173 · Snapshot 20261111T120946Z-9134e7f7